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Oklahoma rates for HCPCS A4393

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

Facilitymedian $11 · 10th–90th $7–$110%50%10th$11Professionalmedian $7 · 10th–90th $4–$110%10%20%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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.08 / $10.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $10.96
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $10.96 / $10.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $7.59 / $8.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $13.80
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $8.91 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $6.03 / $15.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $5.75 / $7.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $5.37 / $7.76