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Oklahoma rates for HCPCS A4379

Ostomy pouch, urinary, with faceplate attached, plastic, each

Facilitymedian $13 · 10th–90th $9–$360%20%10th90th$13Professionalmedian $12 · 10th–90th $6–$180%10%10th90th$12$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $12.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $12.02 / $17.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $13.80 / $14.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $11.75 / $14.79
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $14.79 / $97.72
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $10.00 / $25.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $9.55 / $12.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $8.91 / $12.88