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Ohio rates for HCPCS A4393

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.01 / $8.01 / $21.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $8.01 / $10.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.10 / $10.10 / $10.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.33 / $6.33 / $16.41
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.63 / $12.63 / $12.63
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.47 / $12.63 / $17.05
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.21 / $12.63 / $27.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.54 / $7.59 / $14.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.45 / $6.45 / $8.93
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.54 / $7.59 / $8.03
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.45 / $7.59 / $8.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.24 / $8.59 / $11.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.04 / $5.93 / $8.08