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New York rates for HCPCS A4378

Ostomy pouch, drainable, for use on faceplate, rubber, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $34.67 / $48.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $26.92 / $40.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $21.38 / $69.18
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $35.48 / $35.48
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $35.48 / $35.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $69.18 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $42.66
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $72.44 / $169.82
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $47.86 / $85.11
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $31.62
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.90 / $30.90
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $41.69 / $41.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $16.60 / $26.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $21.38 / $36.31
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.90 / $31.62
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.90 / $30.90