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Pennsylvania rates for HCPCS A4414

Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 in or smaller, each

Facilitymedian $5 · 10th–90th $3–$70%20%10th90th$5Professionalmedian $4 · 10th–90th $2–$70%20%10th90th$4$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
$3.02 / $5.37 / $5.37
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.98 / $6.03
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $6.92 / $7.08
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $4.47 / $4.47
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
$6.92 / $6.92 / $6.92
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $4.17 / $6.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $4.47
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $7.76 / $13.18
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.08
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $4.90 / $7.08
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $5.13 / $5.13
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $4.47 / $4.47
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.02
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.98 / $6.03
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511.89 / $2,511.89 / $2,511.89
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $9.77 / $13.49
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $4.90 / $6.61
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $4.90 / $23.99
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $2.88 / $4.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $3.47 / $7.08