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Pennsylvania rates for HCPCS A4410

Ostomy Skin Barrier With Flange (Solid Flexible Or Accordion) Extended Wear Without Built-In Conity Larger Than 4 X 4 Inches Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.19 / $6.19 / $9.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $7.74 / $10.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.63 / $12.63 / $12.63
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
$9.61 / $12.63 / $12.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $7.59 / $14.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.45 / $6.45 / $8.93
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.67 / $11.62 / $17.10
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.52 / $8.52 / $9.47
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.19 / $6.19 / $9.83
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $7.74 / $11.06
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.70 / $18.00 / $24.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $7.59 / $14.80
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.45 / $6.45 / $14.63
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.02 / $12.02 / $12.02
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.02 / $12.02 / $12.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.30 / $6.30 / $11.39