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Arkansas rates for HCPCS A4423

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.09 / $2.09 / $2.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $2.09 / $2.09
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
$3.29 / $3.29 / $3.29
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.59 / $2.59 / $2.59
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.59 / $2.59 / $2.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $1.56 / $1.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.56 / $1.84
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.91 / $1.91 / $1.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $1.17 / $1.68