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Arkansas rates for HCPCS A4396

Ostomy Belt With Peristomal Hernia Support

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.56 / $45.56 / $45.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.61 / $45.56 / $45.56
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
$71.80 / $71.80 / $71.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.56 / $56.56 / $56.56
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.56 / $56.56 / $56.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.69 / $33.97 / $35.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.88 / $33.97 / $39.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.99 / $25.48 / $34.00