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Ohio rates for HCPCS A4377

Ostomy pouch, drainable, for use on faceplate, plastic, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.80 / $3.80 / $12.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $3.80 / $5.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $7.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.49 / $5.99 / $8.09
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $5.99 / $12.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.47 / $3.60 / $7.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $3.06 / $4.44
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.47 / $3.60 / $3.60
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $3.60 / $3.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.11 / $4.27 / $5.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.92 / $2.79 / $3.83