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Pennsylvania rates for HCPCS A4381

Ostomy pouch, urinary, for use on faceplate, plastic, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.17 / $3.17 / $5.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $3.96 / $5.17
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
$4.92 / $6.46 / $6.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.88 / $3.88 / $7.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $3.30 / $4.80
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.94 / $6.46 / $12.27
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.17 / $3.17 / $5.03
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.72 / $3.96 / $6.11
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $9.19 / $12.70
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.88 / $3.88 / $7.57
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $3.30 / $7.50
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.61 / $6.15 / $6.15
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.61 / $6.15 / $6.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.15 / $3.23 / $5.38