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Oklahoma rates for HCPCS A4378

Ostomy pouch, drainable, for use on faceplate, rubber, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.58 / $25.58 / $30.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.21 / $25.21 / $25.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.81 / $25.81 / $27.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.94 / $25.81 / $34.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.76 / $26.86 / $201.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.14 / $20.47 / $42.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.14 / $18.22 / $26.14