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Oklahoma rates for HCPCS A4379

Ostomy Pouch Urinary With Faceplate Attached Plastic Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.49 / $12.49 / $15.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.31 / $12.31 / $12.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.91 / $13.91 / $14.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.56 / $11.82 / $14.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $13.11 / $98.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.93 / $10.00 / $20.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.93 / $9.38 / $12.77