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Ohio rates for HCPCS A4379

Ostomy pouch, urinary, with faceplate attached, plastic, each

Facilitymedian $14 · 10th–90th $8–$220%20%10th90th$14Professionalmedian $12 · 10th–90th $9–$190%10%20%10th90th$12$0.2$1.0$5.0$20.0$100.0

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
$12.88 / $17.78 / $21.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $12.02 / $16.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $12.88 / $27.54
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $17.78 / $25.12
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $19.05 / $28.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $14.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $11.75 / $11.75
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $13.80
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $11.75 / $11.75
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $15.49 / $22.39
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $23.99 / $43.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $8.51 / $13.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $9.77 / $13.80