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Oklahoma rates for HCPCS A4413

Ostomy pouch, drainable, high output, for use on a barrier with flange (two-piece system), with filter, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.58 / $4.58 / $5.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $4.51 / $4.58
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.62 / $4.62 / $4.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.74 / $6.74 / $6.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.58 / $6.74 / $6.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.53 / $4.62 / $5.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.93 / $4.62 / $5.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.11 / $4.80 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.18 / $3.67 / $8.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.18 / $3.26 / $4.68