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Pennsylvania rates for HCPCS A4379

Ostomy pouch, urinary, with faceplate attached, plastic, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.29 / $10.29 / $16.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.30 / $12.86 / $16.77
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
$15.98 / $20.98 / $20.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.91 / $13.91 / $24.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.56 / $11.82 / $14.33
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.30 / $20.98 / $39.86
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.29 / $10.29 / $16.32
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.86 / $12.86 / $19.84
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.00 / $29.90 / $41.30
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.91 / $13.91 / $24.59
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.56 / $11.82 / $14.83
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.00 / $19.97 / $19.97
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $19.97 / $19.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.15 / $10.47 / $18.34