go back

Arkansas rates for HCPCS A4431

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.00 / $7.00 / $7.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.78 / $7.00 / $7.00
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
$7.49 / $9.91 / $11.01
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.67 / $8.67 / $8.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.67 / $8.67 / $8.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.59 / $5.59 / $5.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.75 / $5.59 / $6.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $3.91 / $5.22