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Pennsylvania rates for HCPCS A4407

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 in or smaller, each

Facilitymedian $9 · 10th–90th $6–$100%50%10th90th$9Professionalmedian $7 · 10th–90th $5–$120%20%10th90th$7$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
$6.03 / $9.12 / $9.55
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.08 / $10.96
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $12.30 / $12.59
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $7.94 / $7.94
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
$12.30 / $12.30 / $12.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $7.41 / $11.75
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $7.76
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $13.80 / $23.44
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $12.59
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $8.71 / $12.59
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $9.12 / $9.12
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $6.03
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $7.08 / $10.00
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $17.38 / $23.99
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $11.75
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $11.75 / $128.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $5.13 / $7.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $6.17 / $12.59