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Oklahoma rates for HCPCS A4399

Ostomy irrigation supply; cone/catheter, with or without brush

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.21 / $10.21 / $12.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $10.06 / $10.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.01 / $15.01 / $15.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.21 / $15.01 / $15.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.29 / $10.29 / $12.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.75 / $10.29 / $13.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.69 / $10.72 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $8.17 / $16.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $7.72 / $10.42