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Ohio rates for HCPCS A4381

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.09 / $4.09 / $16.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.15 / $4.09 / $5.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $3.23 / $8.39
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $6.46 / $8.72
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.20 / $6.46 / $13.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.73 / $3.88 / $7.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $3.30 / $4.80
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.73 / $3.88 / $3.88
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $3.88 / $4.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.34 / $4.59 / $6.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.11 / $3.03 / $4.40