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Arkansas rates for HCPCS A4428

Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (one piece), each

Facilitymedian $398,107 · 10th–90th $7–$933,2540%10%20%10th90th$398,107Professionalmedian $5 · 10th–90th $3–$70%20%40%10th90th$5$2.0$20.0$200.0$2.0K$20.0K$200.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.01 / $7.08
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218,776.16 / $524,807.46 / $954,992.59
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $11.48
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $5.50 / $10.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $4.68 / $5.75
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.09 / $3.89 / $5.75
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $4.17 / $6.03