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Oklahoma rates for HCPCS A4391

Ostomy pouch, urinary, with extended wear barrier attached (one piece), each

Facilitymedian $9 · 10th–90th $5$100%20%40%10th90th$9Professionalmedian $5 · 10th–90th $3$90%10%10th90th$5$2.0$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $5.01 / $7.94
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $8.71
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $8.71 / $8.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $5.89 / $6.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $10.72
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $6.92 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $4.68 / $12.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.31 / $4.47 / $6.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $4.17 / $6.03