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Pennsylvania rates for HCPCS A4398

Ostomy irrigation supply; bag, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.47 / $9.47 / $15.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.71 / $11.84 / $15.44
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
$14.70 / $19.30 / $19.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.60 / $11.60 / $21.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $9.86 / $14.33
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.77 / $23.39 / $29.24
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.51 / $13.04 / $14.48
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.47 / $9.47 / $15.04
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.28 / $11.83 / $16.91
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.30 / $26.30 / $38.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.60 / $11.60 / $21.90
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $9.86 / $22.50
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $18.38 / $18.38
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $18.38 / $18.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.58 / $9.64 / $17.39