go back

New York rates for HCPCS A4330

Perianal fecal collection pouch with adhesive, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $6.92 / $9.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $6.03 / $8.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $7.76 / $10.23
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.61 / $7.08 / $7.08
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $15.14 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $5.13 / $8.51
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $14.45 / $33.11
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $12.59 / $17.38
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.90 / $4.90 / $4.90
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $5.25 / $5.25
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,118.72 / $53,703.18 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $8.32 / $8.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $4.68 / $7.76
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.90 / $4.90 / $6.03
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $4.90 / $5.25