go back

Ohio rates for HCPCS A4384

Ostomy faceplate equivalent, silicone ring, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.52 / $8.52 / $18.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.57 / $8.52 / $11.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.73 / $17.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.07 / $13.42 / $18.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.72 / $13.42 / $28.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.77 / $8.07 / $15.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $6.86 / $9.96
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.77 / $8.07 / $8.07
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $8.07 / $8.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.97 / $9.59 / $12.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.68 / $5.58 / $8.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.30 / $6.25 / $8.58