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Oklahoma rates for HCPCS A4419

Ostomy pouch, closed; for use on barrier with nonlocking flange, with filter (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.43 / $1.43 / $1.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.43
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.45 / $1.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.11 / $2.11 / $2.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $2.11 / $2.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.45 / $1.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $2.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.67 / $1.50 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $1.15 / $2.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $1.03 / $1.48