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New York rates for HCPCS A4384

Ostomy faceplate equivalent, silicone ring, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.85 / $6.57 / $12.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.85 / $6.59 / $12.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.73 / $19.19
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.41 / $11.19 / $11.19
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.19 / $11.19 / $11.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.07 / $8.07 / $8.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $6.86 / $9.96
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.42 / $30.20 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $10.19 / $24.56
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.19 / $10.19 / $10.19
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.72 / $9.72 / $11.19
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.07 / $8.07 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $8.07 / $19.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.30 / $5.18 / $8.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $6.70 / $11.58
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.61 / $9.72 / $9.72
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.72 / $9.72 / $10.19