go back

Ohio rates for HCPCS A4415

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.32 / $5.32 / $13.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $5.32 / $7.17
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.70 / $6.70 / $6.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.20 / $4.20 / $10.89
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.38 / $8.38 / $8.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.29 / $8.38 / $11.31
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.45 / $8.38 / $17.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.54 / $5.03 / $9.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $4.28 / $5.92
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $5.03 / $5.33
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $5.03 / $5.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $4.66 / $6.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.68 / $3.89 / $5.36