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Oklahoma rates for HCPCS A4376

Ostomy pouch, drainable, with faceplate attached, rubber, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.58 / $39.58 / $47.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.00 / $39.00 / $39.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.94 / $39.94 / $45.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.95 / $39.94 / $53.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $41.56 / $312.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.80 / $31.69 / $65.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.80 / $29.98 / $40.44