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New York rates for HCPCS A4372

Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear, with built-in convexity, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $2.85 / $5.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.85 / $5.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $2.93 / $8.65
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.54 / $4.88 / $4.88
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.88 / $4.88 / $4.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.77 / $3.77 / $3.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $3.20 / $3.88
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.87 / $13.21 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.38 / $4.40 / $10.74
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.23 / $4.23 / $4.23
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.22 / $4.22 / $4.88
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.77 / $3.77 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $3.20 / $6.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.92 / $5.36
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.18 / $4.22 / $4.22
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.22 / $4.22 / $4.23