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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.91 / $1.91 / $3.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $2.39 / $3.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.90 / $3.90 / $3.90
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
$2.97 / $3.90 / $3.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.34 / $2.34 / $4.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $1.99 / $2.75
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.49 / $3.59 / $5.28
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $2.63 / $2.93
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.91 / $1.91 / $3.04
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $2.39 / $3.41
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.80 / $5.50 / $7.70
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.34 / $2.34 / $4.57
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $1.99 / $4.50
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.78 / $3.71 / $3.71
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.78 / $3.71 / $3.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.94 / $3.23