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New York rates for HCPCS A4394

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fl oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.57 / $1.76 / $3.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $1.76 / $3.42
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.06 / $2.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $2.02 / $4.75
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.81 / $3.02 / $3.02
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $2.18 / $2.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $2.56
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.62 / $8.15 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.84 / $2.61 / $6.41
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.74 / $2.74 / $2.74
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $2.61 / $3.02
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.59 / $2.59 / $2.59
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $2.65
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $2.18 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $2.22 / $5.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.81 / $3.09
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.58 / $2.61 / $2.61
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $2.61 / $2.74