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Oklahoma rates for HCPCS A4437

Irrigation supply; sleeve, disposable, per month

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $19.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $6.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $3.89 / $54.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $12.88 / $27.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $12.02 / $12.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $12.02 / $19.95