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Pennsylvania rates for HCPCS A4396

Ostomy Belt With Peristomal Hernia Support

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.73 / $27.73 / $44.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.67 / $34.65 / $45.22
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
$43.06 / $56.56 / $56.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.97 / $33.97 / $35.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.88 / $28.88 / $39.97
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.04 / $56.56 / $107.46
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.70 / $38.19 / $42.42
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.73 / $27.73 / $44.02
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.48 / $34.65 / $49.52
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.09 / $80.59 / $111.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.97 / $33.97 / $35.97
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.88 / $28.88 / $65.63
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.23 / $53.83 / $53.83
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.23 / $53.83 / $53.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.80 / $28.22 / $49.42