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Ohio rates for HCPCS A4430

Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.55 / $7.55 / $12.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.82 / $7.55 / $10.19
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.52 / $9.52 / $9.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.96 / $5.96 / $15.47
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.90 / $11.90 / $11.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.93 / $11.90 / $16.07
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.74 / $11.90 / $25.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.15 / $7.15 / $13.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.08 / $6.08 / $8.41
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.15 / $7.15 / $7.57
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.08 / $7.15 / $8.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $5.59 / $7.60