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Oklahoma rates for HCPCS A4429

Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.86 / $6.86 / $8.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $6.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.54 / $7.54 / $7.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.41 / $6.41 / $13.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.15 / $7.20 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.26 / $5.50 / $11.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.26 / $4.88 / $7.01