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Arkansas rates for HCPCS A4416

Ostomy pouch, closed, with barrier attached, with filter (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.10 / $3.10 / $3.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.08 / $3.10 / $3.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.45 / $2.45
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
$4.88 / $4.88 / $4.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.85 / $3.85 / $3.85
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.85 / $3.85 / $3.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $2.31 / $2.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $2.31 / $2.72
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $2.82 / $2.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.73 / $2.31