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Pennsylvania rates for HCPCS A4399

Ostomy irrigation supply; cone/catheter, with or without brush

Facilitymedian $13 · 10th–90th $8$170%20%10th90th$13Professionalmedian $10 · 10th–90th $7$160%20%10th90th$10$0.1$1.0$10.0$100.0$1.0K$10.0K

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
$7.94 / $13.49 / $13.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.00 / $14.79
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $11.22 / $11.22
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
$16.98 / $16.98 / $16.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $16.22
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $12.59
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $19.05 / $33.11
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $17.38
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $10.47 / $17.38
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $12.88
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $11.22
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.00 / $12.88
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $23.44 / $33.88
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $16.22 / $20.89
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $13.80 / $20.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $7.24 / $10.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $8.51 / $17.38