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Arkansas rates for HCPCS A4389

Ostomy pouch, drainable, with barrier attached, with built-in convexity (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.00 / $7.00 / $7.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.78 / $7.00 / $7.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.01 / $11.01 / $11.01
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.67 / $8.67 / $8.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.67 / $8.67 / $8.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.22 / $5.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $5.22 / $6.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $3.91 / $5.22