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Oklahoma rates for HCPCS A4392

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

Facilitymedian $10 · 10th–90th $6–$100%50%10th$10Professionalmedian $6 · 10th–90th $4–$100%10%10th90th$6$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
$6.03 / $6.03 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $6.03 / $8.91
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $10.00
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $10.00 / $10.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $6.92 / $7.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $12.59
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $7.94 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $5.50 / $13.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $5.13 / $6.92
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $4.79 / $6.92