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Pennsylvania rates for HCPCS A5052

Ostomy Pouch Closed; Without Barrier Attached (1 Piece) Each (Updated 01-01-2003) 0)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.02 / $1.02 / $1.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $1.27 / $1.41
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
$1.58 / $2.08 / $2.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.25 / $1.25 / $2.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $1.06 / $2.25
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.91 / $2.74 / $3.43
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.02 / $1.02 / $1.61
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $1.27 / $1.61
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $2.80 / $4.09
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.25 / $1.25 / $2.84
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $1.06 / $2.27
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.49 / $1.98 / $1.98
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.49 / $1.98 / $1.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.73 / $1.04 / $1.82