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Arkansas rates for HCPCS A4392

Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.19 / $9.19 / $9.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.97 / $9.19 / $9.19
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
$14.50 / $14.50 / $14.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.42 / $11.42 / $11.42
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.42 / $11.42 / $11.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.43 / $6.86 / $7.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.83 / $6.86 / $8.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $5.15 / $6.87