go back

Pennsylvania rates for HCPCS A4433

Ostomy pouch, urinary; for use on barrier with locking flange (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.29 / $3.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.63 / $2.87 / $3.75
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
$3.57 / $4.69 / $4.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.81 / $2.81 / $5.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $2.39 / $3.31
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.29 / $4.30 / $6.35
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.15 / $3.15 / $3.15
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.29 / $3.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.63 / $2.87 / $4.09
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.80 / $6.70 / $9.19
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.81 / $2.81 / $5.50
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $2.39 / $5.25
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.34 / $4.46 / $4.46
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.34 / $4.46 / $4.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.56 / $2.33 / $3.89