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Oklahoma rates for HCPCS A4380

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.06 / $31.06 / $37.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.61 / $30.61 / $31.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.45 / $34.45 / $34.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.28 / $29.28 / $36.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.28 / $32.61 / $245.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.74 / $24.86 / $51.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.74 / $22.12 / $31.73