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Oklahoma rates for HCPCS A4423

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.54 / $1.54 / $1.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.52 / $1.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $2.27 / $2.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $1.56 / $1.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.56 / $1.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $1.62 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $1.24 / $2.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $1.15 / $1.58