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Arkansas rates for HCPCS A5052

Ostomy pouch, closed; without barrier attached (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.67 / $1.67 / $1.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.90 / $1.67 / $1.67
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
$2.64 / $2.64 / $2.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $2.08 / $2.08
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.08 / $2.08 / $2.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.25 / $1.25 / $4.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $1.06 / $4.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.59 / $0.88 / $1.25