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New York rates for HCPCS A4380

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

Facilitymedian $40 · 10th–90th $22$870%20%10th90th$40Professionalmedian $30 · 10th–90th $22$690%20%40%10th90th$30$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
$21.88 / $41.69 / $60.26
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $33.11 / $48.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $27.54 / $72.44
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $43.65 / $43.65
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $43.65 / $43.65
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $29.51 / $43.65
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $87.10 / $204.17
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $56.23 / $102.33
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $41.69
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $39.81
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $51.29 / $51.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $21.88 / $53.70
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $34.67 / $89.13
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $38.02 / $41.69
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $39.81