go back

Pennsylvania rates for HCPCS A4431

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.26 / $4.26 / $6.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $5.32 / $6.94
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
$6.61 / $8.67 / $8.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.59 / $5.59 / $10.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.75 / $4.75 / $6.45
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $7.98 / $11.74
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.26 / $4.26 / $6.76
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.67 / $5.32 / $8.21
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.80 / $12.40 / $17.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.59 / $5.59 / $10.16
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.75 / $4.75 / $10.13
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.21 / $8.26 / $8.26
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.21 / $8.26 / $8.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.89 / $4.33 / $7.59