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Oklahoma rates for HCPCS A5112

Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.93 / $26.93 / $32.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.62 / $26.53 / $26.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.60 / $39.60 / $39.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.93 / $39.60 / $39.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.65 / $29.06 / $29.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.70 / $29.06 / $38.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.24 / $28.28 / $218.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.68 / $23.18 / $44.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.68 / $21.02 / $29.43