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Oklahoma rates for HCPCS A5093

Ostomy Accessory; Convex Insert (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.52 / $1.52 / $1.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.50 / $1.50 / $1.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.53 / $2.24 / $2.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.54 / $1.64 / $1.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.58 / $2.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.75 / $1.60 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.77 / $1.22 / $2.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $1.15 / $1.66