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Pennsylvania rates for HCPCS A4425

Ostomy Pouch Drainable; For Use On Barrier With Non-Locking Flange With Filter (2 Piece System) Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.45 / $3.95 / $4.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $2.95 / $3.90
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.99 / $5.00 / $59.00
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
$3.81 / $5.00 / $5.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.01 / $3.01 / $5.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $2.56 / $5.63
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.64 / $4.59 / $6.77
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.99 / $3.25 / $3.75
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.45 / $3.95 / $4.51
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.37 / $3.06 / $4.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.20 / $7.10 / $9.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.01 / $3.01 / $5.86
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $2.56 / $5.68
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.58 / $4.76 / $4.76
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.58 / $4.76 / $4.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $2.50 / $4.37