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Arkansas rates for HCPCS A4430

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.58 / $9.58 / $9.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.18 / $9.58 / $9.58
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
$15.11 / $15.11 / $15.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.90 / $11.90 / $11.90
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.90 / $11.90 / $11.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.15 / $7.15 / $7.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.08 / $7.15 / $8.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.36 / $5.36 / $7.16