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Pennsylvania rates for HCPCS A4437

Irrigation supply; sleeve, disposable, per month

Facilitymedian $4 · 10th–90th $3–$250%20%40%10th90th$4Professionalmedian $3 · 10th–90th $3–$160%50%90th$3$1.0$2.0$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $4.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $26.92
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $6.76 / $6.76
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $34.67 / $52.48
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $27.54
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $16.60 / $27.54
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.02
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.02
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $52.48
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $19.05 / $25.70
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $19.05 / $25.70
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $14.13 / $25.12