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Ohio rates for HCPCS A4399

Ostomy irrigation supply; cone/catheter, with or without brush

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.25 / $9.25 / $37.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.03 / $9.25 / $14.69
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.90 / $11.90 / $13.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.29 / $7.82 / $19.89
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.57 / $14.57 / $14.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.45 / $15.27 / $19.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.93 / $14.57 / $31.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.90 / $10.29 / $18.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.75 / $8.75 / $13.16
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.90 / $10.29 / $12.72
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.75 / $10.29 / $12.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.96 / $10.94 / $14.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $7.27 / $10.56