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Ohio rates for HCPCS A5073

Ostomy pouch, urinary; for use on barrier with flange (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.78 / $2.78 / $8.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.17 / $2.78 / $3.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $3.06 / $3.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.13 / $2.18 / $5.68
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $4.37 / $4.37
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.27 / $4.37 / $5.90
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.89 / $4.37 / $9.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.67 / $2.67 / $5.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.27 / $3.41
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.67 / $2.67 / $3.30
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.67 / $3.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.38 / $3.27 / $4.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $2.04 / $2.84