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Pennsylvania rates for HCPCS A4429

Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.65 / $5.65 / $8.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $7.06 / $9.21
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
$8.77 / $11.53 / $11.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.54 / $7.54 / $13.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.41 / $6.41 / $13.50
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.13 / $10.61 / $15.61
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.65 / $5.65 / $8.97
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.87 / $7.06 / $10.90
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.30 / $16.39 / $22.70
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.54 / $7.54 / $13.51
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.41 / $6.41 / $13.64
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.24 / $10.97 / $10.97
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.24 / $10.97 / $10.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.83 / $5.75 / $9.58