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Pennsylvania rates for HCPCS A5051

Ostomy pouch, closed; with barrier attached (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $1.41 / $2.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.76 / $1.95
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
$2.19 / $2.88 / $2.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $1.73 / $3.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.47 / $2.14
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $2.65 / $3.90
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $1.41 / $2.24
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.76 / $2.24
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $3.90 / $5.70
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $1.73 / $3.37
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.47 / $3.38
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.06 / $2.74 / $2.74
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.74 / $2.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $1.44 / $2.42