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Pennsylvania rates for HCPCS A5073

Ostomy pouch, urinary; for use on barrier with flange (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $3.47 / $3.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $3.98
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $2.88 / $2.88
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $4.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.69 / $2.69 / $6.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.29 / $3.31
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $4.79 / $8.32
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.57 / $4.57 / $4.57
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.75 / $4.57
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.31
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.00 / $3.47
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $2.00 / $4.07
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $7.24 / $7.24
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $6.17 / $8.71
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $3.16 / $4.68
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.69 / $4.07 / $5.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $1.86 / $2.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $2.19 / $3.98