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Pennsylvania rates for HCPCS A4423

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.27 / $1.27 / $2.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $1.59 / $2.06
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
$1.98 / $2.59 / $2.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $1.56 / $3.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.84
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $2.38 / $3.51
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $1.55 / $1.94
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.27 / $1.27 / $2.02
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $1.59 / $2.15
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.20 / $3.70 / $5.09
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $1.56 / $3.04
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.33 / $3.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $2.47 / $2.47
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $2.47 / $2.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $1.30 / $2.34