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Pennsylvania rates for HCPCS A4408

Ostomy Skin Barrier With Flange (Solid Flexible Or Accordion) Extended Wear With Built-In Convexity Larger Than 4 X 4 Inches Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $6.76 / $10.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.80 / $8.46 / $11.03
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
$10.50 / $13.79 / $13.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.28 / $8.28 / $16.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.05 / $7.05 / $9.75
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.50 / $12.69 / $18.67
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.21 / $9.31 / $10.34
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $6.76 / $10.74
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.77 / $8.46 / $12.08
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.10 / $19.70 / $27.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.28 / $8.28 / $16.16
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.05 / $7.05 / $16.13
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.86 / $13.13 / $13.13
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $13.13 / $13.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $6.88 / $11.47