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Oklahoma rates for HCPCS A5073

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

Facilitymedian $4 · 10th–90th $2–$50%20%10th90th$4Professionalmedian $2 · 10th–90th $1–$40%20%10th90th$2$1.0$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.02
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $3.89
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $3.89 / $3.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.69 / $2.69 / $3.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $2.29 / $4.90
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $3.24 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.26 / $2.09 / $5.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $2.04 / $2.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.26 / $1.86 / $2.69