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Pennsylvania rates for HCPCS A5061

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.42 / $2.42 / $3.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $3.02 / $3.95
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
$3.76 / $4.94 / $4.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.97 / $2.97 / $5.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.52 / $3.49
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.80 / $4.54 / $6.69
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.52 / $3.71 / $4.94
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.42 / $2.42 / $3.84
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $2.72 / $3.84
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.70 / $6.70 / $9.69
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.97 / $2.97 / $5.78
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.52 / $5.63
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.52 / $4.70 / $4.70
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.52 / $4.70 / $4.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $2.46 / $4.09