go back

New York rates for HCPCS A4381

Ostomy pouch, urinary, for use on faceplate, plastic, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.81 / $3.15 / $6.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.81 / $3.31 / $6.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $3.23 / $9.22
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.39 / $5.39
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.39 / $5.39 / $5.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.88 / $3.88 / $3.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $3.30 / $4.80
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.46 / $14.54 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.69 / $4.84 / $11.82
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.57 / $3.57 / $3.57
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $4.66 / $4.66
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.88 / $3.88 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $3.88 / $9.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.15 / $3.23 / $5.57
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.61 / $4.66 / $4.66
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $4.66 / $4.66