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Ohio rates for HCPCS A4412

Ostomy pouch, drainable, high output, for use on a barrier with flange (two-piece system), without filter, each

Facilitymedian $2 · 10th–90th $1$40%20%10th90th$2Professionalmedian $2 · 10th–90th $1$30%20%10th90th$2$0.1$0.2$1.0$5.0$20.0

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
$2.00 / $3.16 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.02
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.09 / $3.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.91 / $2.29 / $5.01
Aultcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $3.80
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.91 / $3.24 / $4.57
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $3.39 / $5.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $2.29 / $2.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $1.95 / $2.45
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $2.29 / $2.29
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $1.95 / $2.75
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $2.45 / $3.55
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $4.37 / $7.94
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.20 / $1.51 / $2.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $1.78 / $2.51