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Oklahoma rates for HCPCS A4394

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fl oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.16 / $2.16 / $2.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.12 / $2.12 / $2.16
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.17 / $3.62 / $3.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.17 / $3.17 / $3.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $3.17 / $3.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $2.18 / $2.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $2.18 / $2.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $2.27 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.72 / $3.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $1.63 / $2.19