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Pennsylvania rates for HCPCS A4361

Ostomy faceplate, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.50 / $12.50 / $19.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.86 / $15.63 / $20.51
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.42 / $25.50 / $25.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.42 / $15.42 / $30.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.11 / $13.11 / $19.05
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.23 / $20.05 / $33.40
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.18 / $18.18 / $18.18
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.50 / $12.50 / $19.85
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.86 / $15.63 / $21.80
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.10 / $34.79 / $50.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.42 / $15.42 / $30.06
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.11 / $13.11 / $29.63
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.23 / $24.27 / $24.27
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.23 / $24.27 / $24.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $12.78 / $23.00