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Ohio rates for HCPCS A4409

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 in or smaller, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.51 / $5.51 / $9.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $5.51 / $7.43
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $8.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.34 / $4.34 / $11.27
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.67 / $8.67 / $8.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.50 / $9.53 / $12.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.07 / $10.40 / $15.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.22 / $10.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $4.44 / $6.14
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.22 / $5.53
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $5.22 / $6.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $6.55 / $8.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.84 / $4.08 / $5.54