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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

Facilitymedian $5 · 10th–90th $3–$80%20%10th90th$5Professionalmedian $4 · 10th–90th $3–$70%20%10th90th$4$0.1$0.5$2.0$10.0$50.0

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 / $6.76 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.01 / $6.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $4.68 / $10.72
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $6.92 / $9.55
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $7.24 / $10.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $5.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $4.07 / $4.79
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $4.79
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $4.07 / $4.79
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $7.08 / $10.23
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $9.12 / $16.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.63 / $3.47 / $5.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $3.80 / $5.50