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Ohio rates for HCPCS A4434

Ostomy pouch, urinary; for use on barrier with locking flange, with faucet-type tap with valve (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.33 / $3.33 / $8.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $3.33 / $4.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $2.63 / $6.89
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.94 / $5.25 / $7.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.41 / $5.25 / $11.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.51 / $3.51 / $6.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $2.98 / $3.90
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.51 / $3.51 / $3.51
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $3.51 / $3.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.38 / $3.27 / $4.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $2.47 / $3.50