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Pennsylvania rates for HCPCS A4405

Ostomy skin barrier, nonpectin-based, paste, per oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.34 / $2.34 / $3.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $2.93 / $3.81
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
$3.63 / $4.76 / $4.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $2.86 / $5.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $2.43 / $3.37
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $4.38 / $6.46
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.84 / $3.22 / $3.58
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.34 / $2.34 / $3.72
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $2.88 / $4.76
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.90 / $6.80 / $9.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $2.86 / $5.59
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $2.43 / $5.63
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.40 / $4.54 / $4.54
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.40 / $4.54 / $4.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $2.38 / $4.28