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Oklahoma rates for HCPCS A5063

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.25 / $2.25 / $2.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $2.22 / $2.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $3.78 / $3.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $3.31 / $3.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.70 / $3.31 / $3.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $2.27 / $2.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.04 / $2.36 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.80 / $3.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.60 / $2.29