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Pennsylvania rates for HCPCS A4430

Ostomy pouch, urinary, with extended wear 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
$5.84 / $5.84 / $9.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $7.29 / $9.52
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
$9.06 / $11.90 / $11.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.15 / $7.15 / $13.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.08 / $6.08 / $8.41
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.50 / $10.95 / $16.11
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.09 / $8.02 / $8.02
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.84 / $5.84 / $9.26
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $7.29 / $10.42
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.80 / $17.00 / $23.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.15 / $7.15 / $13.94
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.08 / $6.08 / $13.88
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $11.33 / $11.33
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $11.33 / $11.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.04 / $5.93 / $10.74