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Arkansas rates for HCPCS A4424

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.36 / $5.36 / $5.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.89 / $5.36 / $5.36
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.22 / $4.22 / $4.22
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
$8.44 / $8.44 / $8.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.65 / $6.65 / $6.65
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.65 / $6.65 / $6.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.40 / $4.00 / $4.70
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $4.84 / $4.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $3.09 / $4.28