go back

Oklahoma rates for HCPCS A4425

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.98 / $2.98 / $3.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $2.93 / $2.98
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $5.00 / $5.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.38 / $4.38 / $4.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $4.38 / $4.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.01 / $3.01 / $3.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $2.56 / $5.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.37 / $3.13 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $2.39 / $4.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $2.12 / $3.04