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Pennsylvania rates for HCPCS A4421

Ostomy supply; miscellaneous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.00 / $5.00 / $6.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $5.00 / $5.00
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
$1.60 / $64,999.35 / $64,999.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.55 / $22.55 / $22.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.17 / $19.17 / $22.55
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.53 / $69.58 / $92.46
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.25 / $18.25 / $18.25
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.00 / $5.00 / $6.35
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $5.00 / $5.15
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.55 / $22.55 / $22.55
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.17 / $19.17 / $22.55