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New York rates for HCPCS A4396

Ostomy belt with peristomal hernia support

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $45.71 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $34.67 / $53.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $95.50
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $46.77 / $46.77
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $46.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $91.20 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $56.23
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $95.50 / $223.87
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $63.10 / $112.20
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $40.74 / $42.66
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $40.74 / $40.74
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $54.95 / $54.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $21.88 / $35.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $28.18 / $47.86
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $40.74 / $42.66
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $40.74 / $40.74