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Arkansas rates for HCPCS A4394

Ostomy Deodorant With Or Without Lubricant For Use In Ostomy Pouch Per Fluid Ounce

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.91 / $2.91 / $2.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $2.91 / $2.91
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.29
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
$4.41 / $4.41 / $4.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.62 / $3.62 / $4.53
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.62 / $3.62 / $4.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $2.18 / $2.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $2.18 / $2.56
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $2.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $1.68 / $2.29