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Ohio rates for HCPCS A4425

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.17 / $3.17 / $6.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.44 / $3.17 / $4.28
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $5.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $2.50 / $6.50
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $5.00 / $5.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.75 / $5.50 / $7.43
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $6.00 / $9.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.01 / $3.01 / $5.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $2.56 / $4.16
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.01 / $3.01 / $3.19
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $3.01 / $3.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $2.34 / $3.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $2.33 / $3.20