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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
$2.18 / $2.18 / $3.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $2.72 / $3.55
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
$3.38 / $4.44 / $4.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.67 / $2.67 / $5.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.27 / $3.41
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.58 / $3.94 / $5.82
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.33
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $2.18 / $3.45
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $2.72 / $3.89
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $6.10 / $8.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.67 / $2.67 / $5.21
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.27 / $5.25
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.18 / $4.23 / $4.23
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.18 / $4.23 / $4.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.56 / $2.21 / $4.01