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Arkansas rates for HCPCS A5072

Ostomy Pouch Urinary; Without Barrier Attached (1piece) Each (Updated 01-01-2003) 30)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.37 / $3.37 / $3.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.15 / $3.37 / $3.37
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
$3.62 / $4.80 / $5.33
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
$2.73 / $2.86 / $2.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.86 / $3.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.95 / $2.82