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Arkansas rates for HCPCS A4434

Ostomy pouch, urinary; for use on barrier with locking flange, with faucet-type tap with valve (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.23 / $4.23 / $4.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $4.23 / $4.23
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
$4.54 / $6.00 / $6.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $5.25 / $5.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.25 / $5.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.51 / $3.51 / $3.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $3.51 / $3.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $2.37 / $3.16