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Pennsylvania rates for HCPCS A5093

Ostomy accessory; convex insert

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $1.33 / $2.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $1.59 / $2.06
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
$2.06 / $2.72 / $2.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.64 / $1.64 / $3.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.39 / $1.87
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.54 / $2.29 / $3.56
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.84 / $1.84 / $1.84
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $1.33 / $2.12
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $1.67 / $2.25
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.70 / $5.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.64 / $1.64 / $3.20
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.39 / $3.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.94 / $2.59 / $2.59
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.94 / $2.59 / $2.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $1.36 / $2.45