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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $2.40 / $4.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $2.40 / $3.24
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $1.89 / $4.98
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.78 / $3.78 / $3.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.84 / $3.78 / $5.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $3.78 / $8.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $2.27 / $8.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $1.93 / $2.80
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $2.27 / $2.80
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $2.27 / $2.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $2.34 / $3.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.24 / $1.76 / $2.47