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Arkansas rates for HCPCS A4400

Ostomy Irrigation Set (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $55.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.26 / $55.00 / $55.00
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
$86.68 / $86.68 / $86.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.04 / $58.04 / $68.28
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.28 / $68.28 / $68.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.46 / $41.02 / $41.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.86 / $34.86 / $51.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.30 / $30.76 / $40.97