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New York rates for HCPCS A4373

Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.81 / $4.28 / $8.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.81 / $4.29 / $8.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $6.07 / $11.55
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.78 / $7.29 / $7.29
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.29 / $7.29 / $7.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.26 / $5.26 / $5.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $6.19
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.76 / $19.71 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.17 / $6.57 / $15.51
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.65 / $6.65 / $6.65
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.34 / $6.34 / $7.29
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.28 / $6.28 / $6.28
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.02 / $6.02 / $6.02
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.26 / $5.26 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $5.36 / $12.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.91 / $4.37 / $7.55
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.28 / $6.34 / $6.34
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.34 / $6.34 / $6.65