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Pennsylvania rates for HCPCS A4328

Female external urinary collection device; pouch, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.15 / $7.15 / $11.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.21 / $8.94 / $11.07
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.00 / $57,255.43 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.58 / $14.58 / $14.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.94 / $16.94 / $16.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.70 / $5.95 / $5.95
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.31 / $19.73 / $21.14
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.15 / $7.15 / $11.35
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.35 / $8.94 / $11.35
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.80 / $20.80 / $28.70
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.94 / $16.94 / $16.94
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.70 / $5.95 / $5.95
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.43 / $13.88 / $13.88
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.43 / $13.88 / $13.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $7.28 / $13.16