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Ohio rates for HCPCS A4330

Perianal fecal collection pouch with adhesive, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.40 / $5.40 / $18.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $5.40 / $7.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.65 / $4.38 / $11.06
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $11.06 / $12.64
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.36 / $11.06 / $18.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.11 / $5.11 / $5.11
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.74 / $11.74 / $11.74
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.11 / $5.11 / $5.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.80 / $7.25 / $8.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.83 / $4.24 / $5.40