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New York rates for HCPCS A4367

Ostomy belt, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.16 / $5.01 / $9.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.81 / $5.01 / $9.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $6.32 / $12.55
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.40 / $7.96 / $7.96
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.96 / $7.96 / $7.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.18 / $6.18 / $6.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.25 / $7.06
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.56 / $21.51 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $6.88 / $16.92
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.25 / $7.25 / $7.25
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $6.92 / $7.96
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.85 / $6.85 / $6.85
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.42 / $6.42 / $6.42
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.18 / $6.18 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $6.18 / $14.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.18 / $5.04 / $8.23
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.85 / $6.92 / $6.92
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $6.92 / $7.25