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Pennsylvania rates for HCPCS A4378

Ostomy Pouch Drainable For Use On Faceplate Rubber Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.07 / $21.07 / $33.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.94 / $26.33 / $34.35
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
$32.71 / $42.96 / $42.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.81 / $25.81 / $50.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.94 / $21.94 / $31.88
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.52 / $42.96 / $81.62
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.07 / $21.07 / $33.44
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.94 / $26.33 / $37.61
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.30 / $61.30 / $84.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.81 / $25.81 / $50.34
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.94 / $21.94 / $49.88
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.72 / $40.89 / $40.89
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.72 / $40.89 / $40.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.08 / $21.43 / $38.75