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Oklahoma rates for HCPCS A4375

Ostomy Pouch Drainable With Faceplate Attached Plastic Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.29 / $14.29 / $17.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.08 / $14.08 / $14.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.01 / $21.01 / $21.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.30 / $21.01 / $21.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.93 / $15.93 / $16.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.78 / $13.54 / $16.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.57 / $15.00 / $112.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.78 / $11.44 / $23.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.78 / $10.18 / $14.60