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Ohio rates for HCPCS A4433

Ostomy pouch, urinary; for use on barrier with locking flange (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.98 / $2.98 / $6.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.98 / $4.01
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $3.75 / $3.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $2.34 / $6.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.52 / $4.69 / $6.33
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.05 / $4.69 / $10.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.81 / $2.81 / $5.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $2.39 / $3.31
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.81 / $2.81 / $2.98
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $2.81 / $3.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.38 / $3.27 / $4.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.49 / $2.20 / $2.98