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Ohio rates for HCPCS A4431

Ostomy pouch, urinary; with barrier attached, with faucet-type tap with valve (one piece), each

Facilitymedian $6 · 10th–90th $3–$90%20%10th90th$6Professionalmedian $5 · 10th–90th $3–$80%20%10th90th$5$0.1$0.5$2.0$10.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $7.24 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.01 / $7.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $5.25 / $11.48
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $7.41 / $10.47
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $7.76 / $11.75
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $5.62 / $5.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $5.62
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $5.62 / $5.62
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $5.62
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $7.59 / $10.96
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $10.00 / $18.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.75 / $3.47 / $5.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $4.07 / $5.75