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Ohio rates for HCPCS A4413

Ostomy pouch, drainable, high output, for use on a barrier with flange (two-piece system), with filter, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.88 / $4.88 / $13.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.76 / $4.88 / $6.60
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.19 / $6.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.85 / $3.85 / $10.01
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.70 / $7.70 / $7.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.78 / $7.70 / $10.40
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $7.70 / $16.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.44 / $4.62 / $9.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.93 / $3.93 / $5.71
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.44 / $4.62 / $5.71
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.93 / $4.62 / $5.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $2.34 / $3.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $3.58 / $4.91