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Ohio rates for HCPCS A5056

Ostomy pouch, drainable, with extended wear barrier attached, with filter, (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.15 / $4.15 / $8.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.26 / $4.15 / $5.60
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.22 / $5.22 / $5.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.01 / $3.49 / $9.52
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.53 / $6.53 / $6.53
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.12 / $7.18 / $9.69
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $7.84 / $12.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.93 / $3.93 / $7.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.34 / $3.34 / $4.78
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.93 / $3.93 / $4.16
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.34 / $3.93 / $4.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $4.25 / $5.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.13 / $3.06 / $4.26