go back

Ohio rates for HCPCS A4431

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $7.24 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $5.01 / $7.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $5.25 / $11.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.37 / $7.59 / $10.47
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $7.76 / $11.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.62 / $5.62 / $5.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $5.62
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.62 / $5.62 / $11.75
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $5.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $7.59 / $10.96
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $10.00 / $18.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.09 / $3.63 / $5.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $4.07 / $5.50