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Oklahoma rates for HCPCS A5063

Ostomy pouch, drainable; for use on barrier with flange (two-piece system), each

Facilitymedian $3 · 10th–90th $2–$30%50%10th$3Professionalmedian $2 · 10th–90th $1–$30%20%10th90th$2$1.0$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.02
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $2.29 / $3.89
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.31 / $3.31 / $3.31
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $3.31 / $3.31
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.70 / $2.29 / $2.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $1.95 / $4.17
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $2.69 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.07 / $1.82 / $4.57
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.26 / $1.70 / $2.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.07 / $1.58 / $2.29