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Pennsylvania rates for HCPCS A4368

Ostomy filter, any type, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.51
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.35 / $0.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $0.21 / $0.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.25
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.40 / $0.68
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.36
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.25 / $0.36
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.51
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.60
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.60 / $0.71
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.26 / $0.45
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.26 / $0.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $0.16 / $0.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.17 / $0.32