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Oklahoma rates for HCPCS A4415

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.98 / $4.98 / $6.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.91 / $4.91 / $4.98
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.03 / $5.03 / $5.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.33 / $7.33 / $7.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.99 / $7.33 / $7.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.54 / $5.03 / $5.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $4.65 / $5.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $5.23 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $3.99 / $8.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $3.55 / $5.09