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Oklahoma rates for HCPCS A5061

Ostomy pouch, drainable; with barrier attached, (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.45 / $3.98
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $3.47 / $3.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.37 / $4.37 / $4.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $4.37 / $4.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.09 / $2.95 / $3.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.51 / $2.51 / $5.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $3.47 / $15.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $2.34 / $6.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.66 / $1.91 / $5.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $2.09 / $3.02