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Oklahoma rates for HCPCS A4358

Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.51 / $5.51 / $6.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.65 / $5.43 / $5.51
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.96 / $5.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.11 / $8.11 / $8.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.52 / $8.11 / $8.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $5.57 / $5.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $4.73 / $7.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $5.79 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.62 / $4.44 / $9.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.62 / $4.30 / $5.64