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New York rates for HCPCS A4379

Ostomy pouch, urinary, with faceplate attached, plastic, each

Facilitymedian $16 · 10th–90th $9$350%20%10th90th$16Professionalmedian $12 · 10th–90th $9$280%20%40%10th90th$12$0.2$2.0$20.0$200.0$2.0K$20.0K

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
$8.91 / $16.98 / $23.99
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $12.88 / $19.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $11.22 / $28.84
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $17.38 / $17.38
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $17.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $11.75 / $17.38
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $35.48 / $81.28
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $22.39 / $40.74
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $16.60
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.85
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $20.42 / $20.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $8.91 / $21.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $13.80 / $35.48
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $16.60
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.85