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Oklahoma rates for HCPCS A5071

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.00 / $5.00 / $6.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.92 / $4.92 / $5.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.04 / $5.04 / $5.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.35 / $7.35 / $7.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $7.35 / $7.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.69 / $5.04 / $5.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $4.28 / $5.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $5.25 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $4.00 / $8.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $3.56 / $5.11