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Oklahoma rates for HCPCS A4387

Ostomy pouch, closed, with barrier attached, with built-in convexity (one piece), each

Facilitymedian $3 · 10th–90th $1–$30%20%40%10th90th$3Professionalmedian $2 · 10th–90th $1–$30%20%10th90th$2$1.0$2.0$5.0$10.0$20.0$50.0$100.0

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
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.58 / $2.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.75 / $2.75 / $2.75
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $2.75 / $2.75
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.91 / $1.91 / $3.24
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.62 / $1.62 / $3.47
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.82 / $2.51 / $9.77
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.89 / $1.78 / $3.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.20 / $1.78 / $3.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.89 / $1.32 / $3.98