go back

Oklahoma rates for HCPCS A4388

Ostomy Pouch Drainable With Extended Wear Barrier Attached (1 Piece) Each (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $3.63 / $4.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.58 / $3.58 / $3.63
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.65 / $3.65 / $3.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.34 / $5.34 / $5.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.34 / $5.34 / $5.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.66 / $3.66 / $4.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.11 / $3.66 / $4.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.67 / $3.81 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $2.91 / $6.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.35 / $2.37 / $3.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $2.59 / $3.71