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Oklahoma rates for HCPCS A5072

Ostomy Pouch Urinary; Without Barrier Attached (1piece) Each (Updated 01-01-2003) 30)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.94 / $2.94 / $3.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.89 / $2.89 / $2.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $2.86 / $2.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.43 / $3.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $3.09 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $2.35 / $5.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $2.22 / $2.99