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Oklahoma rates for HCPCS A4367

Ostomy Belt Each (Special Coverage Instructions Apply. See Mcm: 2130a)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.13 / $6.13 / $7.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.01 / $6.04 / $6.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.24 / $5.75 / $6.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.01 / $9.01 / $9.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.12 / $9.01 / $9.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.67 / $6.18 / $6.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.81 / $7.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.81 / $6.44 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.91 / $4.90 / $10.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $4.63 / $6.25