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Arkansas rates for HCPCS A4428

Ostomy Pouch Urinary With Extended Wear Barrier Attached With Faucet-Type Tap With Valve (1 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.33 / $7.33 / $7.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.96 / $7.33 / $7.33
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
$11.57 / $11.57 / $11.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.11 / $9.11 / $9.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.11 / $9.11 / $9.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.47 / $5.47 / $5.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.65 / $5.47 / $6.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $4.09 / $5.47