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New York rates for HCPCS A4389

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

Facilitymedian $6 · 10th–90th $3$140%20%40%10th90th$6Professionalmedian $5 · 10th–90th $4$120%20%10th90th$5$0.1$1.0$10.0$100.0$1.0K$10.0K

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
$3.02 / $7.08 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.01 / $8.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $7.24 / $12.30
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $7.24 / $7.24
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $7.24 / $7.24
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $5.75 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $4.47 / $10.23
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $14.45 / $33.88
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $8.91 / $16.98
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $6.92
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $6.46
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $6.76 / $6.76
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $8.51 / $8.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.72 / $8.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $5.75 / $14.79
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.17 / $6.31 / $6.92
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $6.46