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Pennsylvania rates for HCPCS A4424

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.26 / $3.26 / $5.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $4.07 / $5.32
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
$5.05 / $6.65 / $6.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.00 / $7.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.40 / $3.40 / $4.70
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $6.12 / $9.00
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.96 / $4.49 / $6.65
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.26 / $3.26 / $5.17
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $4.01 / $5.51
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.19 / $9.50 / $13.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.00 / $7.79
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.40 / $3.40 / $7.88
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.75 / $6.33 / $6.33
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.75 / $6.33 / $6.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $3.32 / $5.99