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Oklahoma rates for HCPCS A4417

Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.10 / $3.10 / $3.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $3.06 / $3.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.55 / $4.55 / $4.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.10 / $4.55 / $4.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.13 / $3.13 / $3.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.66 / $3.13 / $3.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.42 / $3.26 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $2.48 / $5.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $2.21 / $3.16