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Oklahoma rates for HCPCS A4409

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 in or smaller, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $5.01 / $7.08
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $6.17 / $8.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $7.59 / $7.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $7.59 / $7.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.72 / $5.25 / $5.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $9.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $6.17 / $26.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $4.17 / $10.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $3.39 / $8.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $3.72 / $5.25