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Ohio rates for HCPCS A4380

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

Facilitymedian $35 · 10th–90th $20–$550%20%10th90th$35Professionalmedian $31 · 10th–90th $22–$490%10%10th90th$31$0.5$2.0$10.0$50.0$200.0

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
$33.11 / $43.65 / $54.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $32.36 / $43.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $31.62 / $69.18
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $44.67 / $63.10
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $46.77 / $70.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $29.51 / $29.51
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $34.67
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $29.51 / $29.51
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $38.90 / $56.23
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $60.26 / $109.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $20.89 / $33.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $24.55 / $34.67