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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 Inches Or Smaller Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.00 / $7.90 / $9.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $7.22 / $9.52
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.24 / $12.24 / $12.24
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
$9.32 / $12.24 / $12.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.35 / $7.35 / $14.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.25 / $6.25 / $8.65
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.99 / $11.26 / $16.57
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.29 / $8.57 / $12.24
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.00 / $7.90 / $9.52
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $7.50 / $10.14
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.20 / $17.50 / $24.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.35 / $7.35 / $14.34
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.25 / $6.25 / $14.25
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.75 / $11.65 / $11.65
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.75 / $11.65 / $11.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $5.15 / $7.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $6.11 / $11.04