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Oklahoma rates for HCPCS A4563

Rectal control system for vaginal insertion, for long term use, includes pump and all supplies and accessories, any type each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$986.29 / $986.29 / $986.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$971.78 / $971.78 / $986.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.00 / $120.00 / $120.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.00 / $120.00 / $125.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$986.29 / $1,078.31 / $7,674.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.08 / $79.92 / $1,617.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.08 / $77.00 / $114.17