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Ohio rates for HCPCS A4390

Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (one piece), each

Facilitymedian $8 · 10th–90th $5$140%20%10th90th$8Professionalmedian $8 · 10th–90th $5$120%10%20%10th90th$8$0.1$0.5$2.0$10.0$50.0

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
$7.94 / $11.22 / $14.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.94 / $10.96
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $10.96 / $10.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $8.13 / $17.78
Aultcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $13.49
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $11.48 / $16.22
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $12.02 / $18.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $8.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $6.92 / $8.51
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $8.13 / $8.13
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $6.92 / $8.13
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $10.23 / $14.79
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.49 / $28.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $5.37 / $8.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $6.31 / $8.91