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New York rates for HCPCS A4388

Ostomy pouch, drainable, with extended wear barrier attached, (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $4.90 / $6.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.02 / $5.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $4.79 / $8.71
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.68 / $5.13 / $5.13
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $5.13 / $5.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $9.77 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $3.09 / $6.17
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.17 / $10.23 / $23.99
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $6.17 / $11.75
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.80 / $3.80 / $3.98
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $4.37 / $4.37
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $5.89 / $5.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $2.34 / $3.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $3.02 / $5.13
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.80 / $4.37 / $4.37
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $4.37 / $4.37