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New York rates for HCPCS A4387

Ostomy pouch, closed, with barrier attached, with built-in convexity (one piece), each

Facilitymedian $3 · 10th–90th $1$60%20%40%10th90th$3Professionalmedian $2 · 10th–90th $1$40%50%10th90th$2$0.1$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
$1.00 / $2.51 / $3.63
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $2.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.66 / $1.74 / $4.37
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.45 / $2.63 / $2.63
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $2.63 / $2.63
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.91 / $1.91 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.62 / $1.62 / $3.72
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $5.25 / $12.30
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $3.39 / $6.03
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $3.24 / $3.39
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $2.09 / $3.24
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $3.09 / $3.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.20 / $1.70 / $3.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.20 / $2.29 / $5.37
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $3.24 / $3.89
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $2.09 / $3.24