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Pennsylvania rates for HCPCS A4330

Perianal fecal collection pouch with adhesive, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.91 / $4.91 / $7.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.30 / $6.14 / $7.80
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
$10.01 / $10.01 / $10.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.74 / $11.74 / $11.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.11 / $5.11 / $5.11
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.94 / $11.52 / $13.11
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.91 / $4.91 / $7.80
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $6.14 / $8.34
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.40 / $14.20 / $19.70
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.74 / $11.74 / $11.74
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.11 / $5.11 / $5.11
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.14 / $9.52 / $9.52
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.14 / $9.21 / $9.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.41 / $5.01 / $8.32