go back

Pennsylvania rates for HCPCS A4414

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.37 / $3.37 / $5.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.09 / $4.05 / $5.35
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.87 / $6.87 / $6.87
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
$5.23 / $6.87 / $6.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.13 / $4.13 / $8.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $3.51 / $4.86
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.82 / $6.32 / $9.30
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.90 / $5.15
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.37 / $3.37 / $5.35
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.94 / $4.05 / $5.69
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,705.33 / $2,705.33 / $2,705.33
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.50 / $9.80 / $13.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.13 / $4.13 / $8.05
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $3.51 / $7.88
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.92 / $6.54 / $6.54
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.92 / $6.54 / $6.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.33 / $3.43 / $6.22