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Arkansas rates for HCPCS A4415

Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 in, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.74 / $6.74 / $6.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.64 / $6.74 / $6.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $5.32
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
$10.63 / $10.63 / $10.63
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.38 / $8.38 / $8.38
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.38 / $8.38 / $8.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $5.03 / $5.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $5.03 / $5.92
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.12 / $6.12 / $6.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $3.77 / $5.04