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Arkansas rates for HCPCS A4419

Ostomy pouch, closed; for use on barrier with nonlocking flange, with filter (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $1.95 / $1.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $1.95 / $1.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.54 / $1.54 / $1.54
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
$3.06 / $3.06 / $3.06
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.41 / $2.41 / $2.41
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.41 / $2.41 / $2.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.45 / $1.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.83
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.77 / $1.77 / $1.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $1.10 / $1.54