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Arkansas rates for HCPCS A4393

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.18 / $10.18 / $10.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $10.18 / $10.18
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
$16.03 / $16.03 / $16.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.63 / $12.63 / $12.63
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.63 / $12.63 / $12.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.54 / $7.59 / $8.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.45 / $7.59 / $8.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $5.88 / $7.58