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Pennsylvania rates for HCPCS A4373

Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.29 / $4.29 / $6.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.05 / $5.36 / $7.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.76 / $8.76 / $8.76
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
$6.66 / $8.76 / $8.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.26 / $5.26 / $10.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $6.19
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.30 / $8.06 / $11.86
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.68 / $5.92 / $6.57
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.29 / $4.29 / $6.81
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $5.36 / $7.25
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.90 / $12.50 / $17.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.26 / $5.26 / $10.26
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $10.13
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.27 / $8.33 / $8.33
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.27 / $8.33 / $8.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.97 / $4.37 / $7.65