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Arkansas rates for HCPCS A5073

Ostomy pouch, urinary; for use on barrier with flange (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.58 / $3.58 / $3.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $3.58 / $3.58
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
$5.64 / $5.64 / $5.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.37 / $4.37 / $4.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $4.37 / $4.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.67 / $2.67 / $3.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.67 / $3.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $2.06 / $2.66