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Pennsylvania rates for HCPCS A4381

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

Facilitymedian $5 · 10th–90th $3$50%20%40%10th90th$5Professionalmedian $3 · 10th–90th $2$60%20%10th90th$3$0.1$0.5$5.0$50.0$500.0$5.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $6.03
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $6.46
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $6.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.31 / $3.98
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $8.71 / $12.59
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $6.61 / $6.61
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $4.57 / $6.61
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.02
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $5.01
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $9.12 / $12.59
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.57 / $4.57 / $6.17
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $4.68 / $6.17
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $2.69 / $4.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $3.24 / $6.61