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Oklahoma rates for HCPCS A4426

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.34 / $3.34 / $3.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $3.34 / $3.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.29 / $2.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.04 / $2.38 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.08 / $1.82 / $3.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.08 / $1.61 / $2.31