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Ohio rates for HCPCS A4417

Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (one piece), each

Facilitymedian $3 · 10th–90th $2–$50%20%10th90th$3Professionalmedian $3 · 10th–90th $2–$50%20%10th90th$3$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
$3.02 / $4.37 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $3.98
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $4.17 / $4.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $3.16 / $6.92
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.63 / $4.47 / $6.31
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $4.68 / $7.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $3.16 / $3.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $2.63 / $3.39
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $3.16 / $3.63
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $2.63 / $3.16
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.62 / $2.29 / $3.31
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.89 / $10.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.66 / $2.09 / $3.39
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $2.45 / $3.47