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Arkansas rates for HCPCS A4435

Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.49 / $6.49 / $6.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $6.49 / $6.49
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
$6.95 / $9.19 / $10.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.05 / $8.05 / $8.05
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.05 / $8.05 / $8.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $4.84 / $4.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.84 / $5.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $3.76 / $5.01