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Ohio rates for HCPCS A4423

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.64 / $1.64 / $4.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $1.64 / $2.22
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.06 / $2.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $3.36
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.59 / $2.59 / $2.59
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.94 / $2.59 / $3.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.68 / $2.59 / $5.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $1.56 / $3.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.84
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $1.56 / $1.66
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.56 / $1.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.08 / $1.48 / $1.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $1.22 / $1.66