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Oklahoma rates for HCPCS A5062

Ostomy pouch, drainable; without barrier attached (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $1.86 / $2.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $1.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.73 / $2.73 / $2.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $2.73 / $2.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.87 / $1.87 / $2.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $1.87 / $2.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $1.95 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $1.48 / $3.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $1.32 / $1.89