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Arkansas rates for HCPCS A4433

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.77 / $3.77 / $3.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $3.77 / $3.77
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
$5.95 / $5.95 / $5.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.69 / $4.69 / $4.69
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.69 / $4.69 / $4.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.81 / $2.81 / $2.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $2.81 / $3.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $2.11 / $2.95