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Oklahoma rates for HCPCS A4390

Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (one piece), each

Facilitymedian $12 · 10th–90th $7$120%50%10th$12Professionalmedian $7 · 10th–90th $5$120%10%10th90th$7$5.0$10.0$20.0$50.0

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
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$7.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$7.08
Typical High
$10.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$11.75
BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$11.75
Typical High
$11.75
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$8.13
Typical High
$8.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$6.92
Typical High
$14.79
Medica
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$9.33
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$6.46
Typical High
$16.22
United
Setting
Facility
Modifier
Global
Typical Low
$4.47
Median
$6.03
Typical High
$8.13
United
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$5.75
Typical High
$8.13