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Ohio rates for HCPCS A4419

Ostomy pouch, closed; for use on barrier with nonlocking flange, with filter (two piece), each

Facilitymedian $1 · 10th–90th $1$20%20%10th90th$1Professionalmedian $1 · 10th–90th $1$20%20%40%10th90th$1$0.0$0.1$0.5$2.0$10.0

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
$1.00 / $2.00 / $2.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $1.95 / $1.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $1.51 / $3.16
Aultcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $2.40 / $2.40
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.20 / $2.04 / $2.88
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.58 / $2.19 / $3.24
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.45 / $1.45 / $1.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $1.23 / $1.55
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.45 / $1.45 / $1.55
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $1.23 / $1.48
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.07 / $1.48 / $2.14
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $2.69 / $5.01
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.78 / $0.98 / $1.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.79 / $1.12 / $1.62