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Oklahoma rates for HCPCS A4398

Ostomy Irrigation Supply; Bag Each (Special Coverage Instructions Apply. See Mcm: 2130a)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.50 / $11.50 / $13.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.37 / $11.33 / $11.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.91 / $16.91 / $16.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.51 / $16.91 / $16.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.99 / $11.60 / $14.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $10.24 / $15.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.28 / $12.08 / $89.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $9.19 / $20.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $8.19 / $11.74