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Oklahoma rates for HCPCS A4393

Ostomy Pouch Urinary With Extended Wear Barrier Attached With Built-In Convexity (1 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.52 / $7.52 / $9.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.41 / $7.52
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.58 / $7.58 / $7.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.06 / $11.06 / $11.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.53 / $11.06 / $11.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $7.59 / $8.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.45 / $7.59 / $10.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.46 / $7.90 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $6.02 / $12.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $5.36 / $7.68