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Oklahoma rates for HCPCS A4357

Bedside drainage bag, day or night, with or without antireflux device, with or without tube, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.87 / $6.87 / $8.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $6.77 / $6.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $6.92 / $8.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.10 / $10.10 / $10.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.23 / $10.10 / $10.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.33 / $8.15 / $8.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $6.93 / $10.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.71 / $7.21 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.84 / $5.75 / $11.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.84 / $5.49 / $8.25