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Pennsylvania rates for HCPCS A4416

Ostomy Pouch Closed With Barrier Attached With Filter (1 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.89 / $1.89 / $3.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.34 / $2.36 / $3.07
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
$2.93 / $3.85 / $3.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $2.31 / $4.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $1.96 / $2.72
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.22 / $3.54 / $5.21
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.60 / $2.75 / $2.75
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.89 / $1.89 / $3.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $2.33 / $3.37
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.80 / $5.50 / $7.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $2.31 / $4.51
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $1.96 / $4.50
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.75 / $3.66 / $3.66
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $3.66 / $3.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.31 / $1.92 / $3.47