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Pennsylvania rates for HCPCS A4399

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.41 / $8.41 / $13.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.96 / $9.51 / $13.71
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
$13.06 / $17.14 / $17.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.29 / $10.29 / $18.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.75 / $8.75 / $13.16
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.81 / $15.77 / $23.21
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.21 / $10.21 / $12.86
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.41 / $8.41 / $13.35
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.69 / $10.28 / $14.56
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.80 / $23.40 / $33.79
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.29 / $10.29 / $18.79
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.75 / $8.75 / $19.88
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.25 / $16.32 / $16.32
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.25 / $16.32 / $16.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.84 / $8.55 / $15.44