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Ohio rates for HCPCS A5072

Ostomy pouch, urinary; without barrier attached (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.13 / $3.13 / $5.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.41 / $3.13 / $3.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $2.46 / $6.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.15 / $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
$2.86 / $2.86 / $2.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.43 / $3.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.73 / $2.86 / $2.86
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.86 / $2.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $3.41 / $4.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $2.44 / $3.15