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Pennsylvania rates for HCPCS A4406

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.92 / $3.92 / $6.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $4.72 / $6.22
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $8.00 / $8.00
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
$6.09 / $8.00 / $8.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.80 / $4.80 / $9.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.08 / $4.08 / $5.65
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.21 / $7.36 / $10.83
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $5.41 / $6.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.92 / $3.92 / $6.22
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $4.90 / $6.39
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$697.28 / $697.28 / $697.28
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $11.40 / $15.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.80 / $4.80 / $9.36
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.08 / $4.08 / $9.38
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.73 / $7.61 / $7.61
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.73 / $7.61 / $7.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.66 / $3.99 / $7.24