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Ohio rates for HCPCS A4421

Ostomy supply; miscellaneous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.00 / $5.00 / $8.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $5.00 / $5.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.19 / $6.19 / $35.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $16.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.20
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.19 / $22.55 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.17 / $19.17 / $22.55
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.55 / $22.55 / $22.55
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.17 / $22.55 / $22.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $50.00 / $60.00