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Pennsylvania rates for HCPCS A4427

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

Facilitymedian $3 · 10th–90th $1$40%20%40%10th90th$3Professionalmedian $2 · 10th–90th $1$40%50%10th90th$2$0.1$0.5$5.0$50.0$500.0$5.0K$50.0K

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 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.02
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.51 / $2.51
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
$3.89 / $3.89 / $3.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.34 / $2.34 / $3.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.51
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $4.37 / $7.59
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $3.98
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $2.82 / $3.98
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $2.95 / $2.95
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $2.51 / $2.51
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 / $2.00 / $3.02
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $5.50 / $7.76
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.75 / $3.47 / $9.77
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $3.72 / $9.77
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.32 / $1.62 / $2.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.35 / $1.95 / $3.98