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Ohio rates for HCPCS A4424

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.22 / $4.22 / $12.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $4.22 / $5.70
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $5.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.33 / $3.33 / $8.64
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.65 / $6.65 / $6.65
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.99 / $6.65 / $8.98
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.32 / $6.65 / $14.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.00 / $7.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.40 / $3.40 / $4.70
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.23
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.40 / $4.00 / $4.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $2.69 / $3.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $3.29 / $4.24