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Oklahoma rates for HCPCS A4381

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $3.24 / $5.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.62 / $5.62 / $5.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $5.62 / $5.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.75 / $3.89 / $4.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $3.31 / $7.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.16 / $4.47 / $79.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $3.09 / $7.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $2.51 / $6.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $2.75 / $3.89