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New York rates for HCPCS A4391

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

Facilitymedian $7 · 10th–90th $4$170%20%10th90th$7Professionalmedian $6 · 10th–90th $4$130%20%10th90th$6$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
$3.98 / $7.94 / $11.22
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $6.03 / $9.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $8.32 / $14.13
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $8.32 / $8.32
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $8.32
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $6.31 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $11.75
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $16.60 / $38.90
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $10.00 / $19.05
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $6.76
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $7.08 / $7.08
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $9.55 / $9.55
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.47 / $4.17 / $10.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $6.61 / $16.60
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $7.08 / $7.08
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $7.08 / $7.08