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Oklahoma rates for HCPCS A4416

Ostomy pouch, closed, with barrier attached, with filter (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $2.25 / $2.29
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $2.31 / $2.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.37 / $3.37 / $3.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $3.37 / $3.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $2.31 / $2.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $2.31 / $2.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.05 / $2.40 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.84 / $3.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.63 / $2.34