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Oklahoma rates for HCPCS A4381

Ostomy pouch, urinary, for use on faceplate, plastic, each

Facilitymedian $4 · 10th–90th $3–$110%20%10th90th$4Professionalmedian $3 · 10th–90th $2–$50%10%20%10th90th$3$1.0$2.0$5.0$10.0$20.0$50.0

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
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $5.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.75 / $3.89 / $4.27
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.31 / $7.08
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $4.47 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $3.09 / $7.94
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $2.88 / $3.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $2.75 / $3.89