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Arkansas rates for HCPCS A4399

Ostomy irrigation supply; cone/catheter, with or without brush

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $13.80 / $13.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.46 / $13.80 / $13.80
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
$21.76 / $21.76 / $21.76
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.57 / $14.57 / $14.87
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.57 / $14.57 / $14.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.90 / $10.29 / $12.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.75 / $10.29 / $13.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $7.72 / $10.30