go back

Pennsylvania rates for HCPCS A4422

Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken liquid stomal output, each

Facilitymedian $0 · 10th–90th $0$5,0120%20%10th90th$0Professionalmedian $0 · 10th–90th $0$00%20%40%10th90th$0$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
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
$0.15 / $0.15 / $0.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.09 / $0.09 / $0.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.08 / $0.08 / $0.09
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.14 / $0.20 / $0.28
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.15 / $0.15 / $0.15
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.11 / $0.15
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.11 / $0.11 / $0.11
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.20 / $0.30 / $0.60
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.07 / $0.15 / $0.28
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.11 / $0.15 / $0.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.06 / $0.07 / $0.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.06 / $0.08 / $0.15