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Arkansas rates for HCPCS A4398

Ostomy Irrigation Supply; Bag Each (Special Coverage Instructions Apply. See Mcm: 2130a)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.56 / $15.56 / $15.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.40 / $15.56 / $15.56
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
$24.52 / $24.52 / $24.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.70 / $17.70 / $19.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.30 / $19.30 / $19.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.16 / $11.60 / $14.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $11.60 / $14.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $8.69 / $11.60