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Oklahoma rates for HCPCS A4391

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.88 / $5.88 / $7.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.80 / $5.80 / $5.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.65 / $8.65 / $8.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $8.65 / $8.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.93 / $5.93 / $6.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.04 / $5.93 / $7.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.70 / $6.17 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.79 / $4.71 / $9.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.79 / $4.19 / $6.01