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Oklahoma rates for HCPCS A5073

Ostomy pouch, urinary; for use on barrier with flange (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $3.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $3.89 / $3.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $3.89 / $3.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.69 / $2.69 / $3.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.29 / $4.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.14 / $3.16 / $13.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $2.09 / $5.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $1.74 / $4.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.86 / $2.69