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Ohio rates for HCPCS A5061

Ostomy pouch, drainable; with barrier attached, (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.13 / $3.13 / $6.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.41 / $3.13 / $4.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.95 / $3.95 / $3.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.38 / $2.46 / $6.42
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.94 / $4.94 / $4.94
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.71 / $4.94 / $6.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.21 / $4.94 / $10.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.48 / $2.97 / $5.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.52 / $3.49
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.48 / $2.97 / $3.14
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.97 / $3.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $3.88 / $5.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $2.35 / $3.15