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Oklahoma rates for HCPCS A4428

Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (one piece), each

Facilitymedian $8 · 10th–90th $5–$80%50%10th$8Professionalmedian $5 · 10th–90th $3–$80%10%20%10th90th$5$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.01 / $7.08
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $7.94 / $7.94
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $5.50 / $6.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $4.68 / $10.00
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $6.46 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $4.37 / $11.22
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.09 / $4.07 / $5.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $3.89 / $5.50