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Pennsylvania rates for HCPCS A5071

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.12 / $4.12 / $6.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $5.15 / $6.71
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
$6.39 / $8.40 / $8.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.04 / $5.04 / $9.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $4.28 / $5.93
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $7.73 / $11.37
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $5.00 / $5.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.12 / $4.12 / $6.54
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $5.15 / $7.35
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.50 / $11.40 / $16.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.04 / $5.04 / $9.84
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $4.28 / $9.75
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.00 / $7.99 / $7.99
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $7.99 / $7.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.79 / $4.19 / $7.33