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Ohio rates for HCPCS A4416

Ostomy pouch, closed, with barrier attached, with filter (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $3.24 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $3.02
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $3.16 / $3.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.29 / $5.01
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $2.88 / $4.57
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.51 / $3.47 / $5.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $1.95 / $2.29
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.29 / $5.25
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $1.95 / $2.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $2.19 / $3.16
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $4.37 / $8.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $1.74 / $2.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.78 / $2.45