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Arkansas rates for HCPCS A5062

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.50 / $2.50 / $29.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $2.50 / $2.50
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
$3.97 / $3.97 / $3.97
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.90 / $2.90 / $3.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $2.90 / $2.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $1.87 / $2.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $1.87 / $2.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $1.42 / $1.96