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Pennsylvania rates for HCPCS A4423

Ostomy pouch, closed; for use on barrier with locking flange, with filter (two piece), each

Facilitymedian $2 · 10th–90th $1$20%20%40%10th90th$2Professionalmedian $1 · 10th–90th $1$20%50%90th$1$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $2.04 / $2.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.35 / $1.70 / $1.70
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
$2.57 / $2.57 / $2.57
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.55 / $1.55 / $2.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $1.32 / $1.66
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.38 / $2.88 / $5.01
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.63 / $2.63 / $2.63
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.58 / $1.86 / $2.63
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.95 / $1.95
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $1.70 / $1.70
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $3.72 / $5.13
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.41 / $1.86 / $2.45
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.86 / $18.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.87 / $1.10 / $1.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.91 / $1.29 / $2.63