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Arkansas rates for HCPCS A4418

Ostomy pouch, closed; without barrier attached, with filter (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $2.04 / $2.04
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $1.62 / $1.62
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
$3.21 / $3.21 / $3.21
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.52 / $2.52 / $2.52
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.52 / $2.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.69 / $1.69 / $1.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.69 / $1.88
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $1.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $1.13 / $1.52