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Arkansas rates for HCPCS A4426

Ostomy pouch, drainable; for use on barrier with locking flange (two-piece system), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.07 / $3.07 / $3.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $3.07 / $3.07
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.42 / $2.42
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
$4.84 / $4.84 / $4.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.81 / $3.81 / $3.81
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.81 / $3.81 / $3.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.29 / $2.69
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.78 / $2.78 / $2.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.08 / $1.72 / $2.29