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Ohio rates for HCPCS A5071

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.33 / $5.33 / $14.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $5.33 / $7.19
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.72 / $6.72 / $6.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.03 / $4.21 / $10.92
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.40 / $8.40 / $8.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.30 / $8.40 / $11.34
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $8.40 / $17.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.18 / $5.04 / $9.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $4.28 / $5.93
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.18 / $5.04 / $5.34
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $5.04 / $5.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $6.58 / $8.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.68 / $3.90 / $5.36