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Arkansas rates for HCPCS A5072

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.02 / $3.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218,776.16 / $524,807.46 / $954,992.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $3.63 / $4.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.75 / $2.88 / $2.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.45 / $2.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.66 / $1.91 / $3.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $2.00 / $2.69