go back

Oklahoma rates for HCPCS A4433

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.79 / $2.79 / $3.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $2.75 / $2.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.78 / $4.09 / $4.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.81 / $2.81 / $3.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $2.81 / $3.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.28 / $2.93 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $2.23 / $4.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $1.99 / $2.84