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Ohio rates for HCPCS A4387

Ostomy pouch, closed, with barrier attached, with built-in convexity (one piece), each

Facilitymedian $3 · 10th–90th $2–$30%20%10th90th$3Professionalmedian $2 · 10th–90th $1–$50%20%10th90th$2$0.1$0.2$1.0$5.0

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
$2.00 / $2.63 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $2.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $4.17 / $6.76
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.58 / $2.69 / $3.80
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $2.82 / $4.27
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.91 / $1.91 / $2.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.62 / $1.62 / $2.04
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.91 / $1.91 / $1.91
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.62 / $1.62 / $1.91
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.62 / $2.29 / $3.31
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.55 / $6.61
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.20 / $2.19 / $3.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $1.58 / $3.31