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Oklahoma rates for HCPCS A4383

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.45 / $23.45 / $28.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.11 / $23.11 / $23.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.07 / $26.07 / $26.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.07 / $22.16 / $27.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.78 / $24.62 / $184.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.14 / $18.77 / $38.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.14 / $16.70 / $23.96