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Oklahoma rates for HCPCS A4408

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 in, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.21 / $8.21 / $9.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.09 / $8.09 / $8.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.08 / $12.08 / $12.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.21 / $12.08 / $12.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.28 / $8.28 / $8.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.05 / $8.28 / $9.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.78 / $8.61 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.90 / $6.57 / $13.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.90 / $5.85 / $8.39