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New York rates for HCPCS A4371

Ostomy skin barrier, powder, per oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.22 / $2.49 / $4.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $2.49 / $4.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.32 / $3.32 / $3.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $3.37 / $7.32
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.94 / $4.24 / $4.24
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.06 / $3.06 / $3.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.60 / $2.60 / $3.60
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.09 / $11.48 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.01 / $4.69 / $9.02
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.88 / $3.88 / $3.88
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.69 / $3.69 / $4.24
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.67 / $3.67 / $3.67
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $4.13 / $4.13
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.06 / $3.06 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.60 / $3.12 / $7.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $2.54 / $4.36
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.65 / $3.69 / $3.69
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.69 / $3.69 / $3.88