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Ohio rates for HCPCS A4435

Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $6.76 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $5.01 / $7.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $4.57 / $10.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $6.03 / $9.55
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $7.24 / $10.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $4.79 / $4.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.07 / $4.79
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $4.79 / $4.79
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.07 / $4.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $7.08 / $10.23
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $9.12 / $16.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.82 / $3.47 / $5.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $3.80 / $5.37