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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

Facilitymedian $4 · 10th–90th $2$100%20%40%10th90th$4Professionalmedian $3 · 10th–90th $2$80%20%40%10th90th$3$0.1$0.5$5.0$50.0$500.0$5.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $4.68 / $6.76
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $5.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $3.09 / $8.13
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.57 / $4.90 / $4.90
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $4.90 / $4.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $3.24 / $4.90
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $9.77 / $22.91
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $6.31 / $11.48
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $4.47
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $4.27
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $5.75 / $5.75
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $2.45 / $6.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $3.89 / $10.00
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $4.27 / $4.47
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $4.27