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Ohio rates for HCPCS A4372

Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear, with built-in convexity, each

Facilitymedian $4 · 10th–90th $2–$60%20%10th90th$4Professionalmedian $3 · 10th–90th $2–$50%20%10th90th$3$0.1$0.5$2.0$10.0

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
$3.02 / $4.90 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $5.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $3.55 / $7.76
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $5.01 / $7.08
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $5.25 / $7.94
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $3.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $3.24 / $3.24
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $3.80
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $3.24 / $3.24
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $4.37 / $6.17
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $6.76 / $12.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.86 / $2.34 / $3.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.91 / $2.75 / $3.98