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Pennsylvania rates for HCPCS A4435

Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.95 / $3.95 / $6.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.81 / $4.94 / $6.43
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
$6.13 / $8.05 / $8.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $4.84 / $4.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.12 / $5.99
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $8.05 / $15.30
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.95 / $3.95 / $6.27
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $4.94 / $7.05
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $11.50 / $15.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $4.84 / $4.84
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.12 / $9.38
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.82 / $7.66 / $7.66
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.82 / $7.66 / $7.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $4.01 / $6.77