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Ohio rates for HCPCS A4376

Ostomy pouch, drainable, with faceplate attached, rubber, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.20 / $42.20 / $98.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.47 / $42.20 / $56.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.31 / $33.31 / $86.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.86 / $66.48 / $89.75
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.21 / $66.48 / $142.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.42 / $39.94 / $77.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.95 / $33.95 / $49.34
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.42 / $39.94 / $39.94
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.95 / $39.94 / $42.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.48 / $47.42 / $62.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.60 / $30.91 / $42.48