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Pennsylvania rates for HCPCS A4413

Ostomy Pouch Drainable High Output For Use On A Barrier With Flange (2 Piece System) With Filter Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.77 / $3.77 / $5.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.68 / $4.72 / $6.16
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
$5.86 / $7.70 / $7.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.62 / $4.62 / $9.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.93 / $3.93 / $5.71
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $7.08 / $10.43
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.19 / $5.49 / $5.78
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.77 / $3.77 / $5.99
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $4.71 / $6.74
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.50 / $11.00 / $15.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.62 / $4.62 / $9.02
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.93 / $3.93 / $9.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $7.33 / $7.33
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $7.33 / $7.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $3.84 / $6.73