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Ohio rates for HCPCS A5053

Ostomy pouch, closed; for use on faceplate, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.53 / $1.53 / $5.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.19 / $1.53 / $2.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.14 / $1.22 / $3.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.81 / $2.41 / $3.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $2.41 / $5.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.37 / $1.37 / $1.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $1.15 / $1.37
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.36 / $1.37 / $1.37
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $1.36 / $1.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.58 / $2.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $1.13 / $1.56