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New York rates for HCPCS A4392

Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (one piece), each

Facilitymedian $9 · 10th–90th $4–$190%20%40%10th90th$9Professionalmedian $7 · 10th–90th $5–$150%20%10th90th$7$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 / $9.12 / $13.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $7.08 / $10.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $8.71 / $16.22
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $9.55 / $9.55
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $9.55
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $7.59 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $13.18
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $19.05 / $44.67
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $11.75 / $22.39
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $9.12
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $8.71
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $11.22 / $11.22
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $4.79 / $11.75
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $7.59 / $19.50
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $8.32 / $9.12
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $8.71