go back

Arkansas rates for HCPCS A5071

Ostomy Pouch Urinary; With Barrier Attached (1 Piece) Each (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $6.76 / $6.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.65 / $6.76 / $6.76
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
$10.66 / $10.66 / $10.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.40 / $8.40 / $8.40
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.40 / $8.40 / $8.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.18 / $5.04 / $5.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $5.04 / $5.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $3.78 / $5.05