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Ohio rates for HCPCS A4385

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each

Facilitymedian $6 · 10th–90th $3$90%20%10th90th$6Professionalmedian $4 · 10th–90th $3$60%20%10th90th$4$0.1$0.5$2.0$10.0

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
$3.98 / $6.03 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.98 / $6.03
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $5.75 / $5.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $4.37 / $9.33
Aultcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.08
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $8.51 / $11.48
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $9.55 / $16.60
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $4.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $4.57
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $4.27 / $4.27
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $4.68
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $4.79 / $6.92
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $7.94 / $14.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $2.88 / $4.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $3.39 / $4.79