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Oklahoma rates for HCPCS A4435

Ostomy Pouch Drainable High Output With Extended Wear Barrier(One-Piece System) With Or Without Filter Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $4.79 / $4.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.72 / $4.72 / $4.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.80 / $7.05 / $7.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $4.84 / $4.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.84 / $5.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $5.03 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $3.85 / $8.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $3.42 / $5.32