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Arkansas rates for HCPCS A4391

Ostomy pouch, urinary, with extended wear barrier attached (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.96 / $7.96 / $7.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.30 / $7.96 / $7.96
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
$12.53 / $12.53 / $12.53
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.86 / $9.86 / $9.86
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $9.86 / $9.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.93 / $5.93 / $7.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.04 / $5.93 / $7.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.79 / $4.45 / $5.94