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Arkansas rates for HCPCS A5061

Ostomy pouch, drainable; with barrier attached, (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.97 / $3.97 / $3.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.15 / $3.97 / $3.97
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.14 / $3.14 / $3.14
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
$6.27 / $6.27 / $6.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.94 / $4.94 / $4.94
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.94 / $4.94 / $4.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.48 / $2.97 / $3.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $2.97 / $3.49
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.61 / $3.61 / $3.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $2.22 / $2.96