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Oklahoma rates for HCPCS A5073

Ostomy Pouch Urinary; For Use On Barrier With Flange (2 Piece) Each (Updated 01-01-2003) Cm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.63 / $2.63 / $3.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.59 / $2.59 / $2.63
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.62 / $2.62 / $2.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.87 / $3.87 / $3.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $3.87 / $3.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.67 / $2.67 / $3.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.67 / $3.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.22 / $2.76 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $2.11 / $4.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.85 / $2.70