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Pennsylvania rates for HCPCS A4384

Ostomy faceplate equivalent, silicone ring, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.59 / $6.59 / $10.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.67 / $8.23 / $10.74
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
$10.22 / $13.42 / $13.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.07 / $8.07 / $15.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $6.86 / $9.96
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.35 / $13.42 / $25.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.59 / $6.59 / $10.45
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.68 / $8.23 / $12.70
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.70 / $19.20 / $26.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.07 / $8.07 / $15.73
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $6.86 / $15.38
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.61 / $12.78 / $12.78
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.61 / $12.78 / $12.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.51 / $5.65 / $8.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.58 / $6.70 / $11.17