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Oklahoma rates for HCPCS A4384

Ostomy faceplate equivalent, silicone ring, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $8.00 / $9.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.88 / $7.88 / $8.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.07 / $8.07 / $8.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $8.07 / $10.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.68 / $8.40 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $6.40 / $13.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.18 / $5.22 / $6.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $5.69 / $8.18