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New York rates for HCPCS A4379

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.13 / $10.25 / $19.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.13 / $10.29 / $19.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.51 / $10.51 / $31.05
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.26 / $17.48 / $17.48
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.48 / $17.48 / $17.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.91 / $13.91 / $14.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.56 / $11.82 / $14.33
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.98 / $47.21 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.13 / $15.93 / $38.39
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.93 / $15.93 / $15.93
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.17 / $15.17 / $17.48
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.91 / $13.91 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.56 / $11.82 / $24.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.98 / $10.47 / $18.07
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.02 / $15.17 / $15.17
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.17 / $15.17 / $15.93