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Ohio rates for HCPCS A4411

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $6.03 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.98 / $6.03
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $5.75 / $7.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $4.17 / $9.33
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.55 / $5.37 / $8.51
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $6.46 / $9.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $4.27 / $4.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $3.63 / $4.27
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $4.27 / $9.77
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $3.63 / $4.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $5.50 / $7.76
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $8.13 / $15.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.51 / $3.16 / $4.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $3.31 / $4.57