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New York rates for HCPCS A4398

Ostomy irrigation supply; bag, each

Facilitymedian $14 · 10th–90th $1$320%10%20%10th90th$14Professionalmedian $12 · 10th–90th $8$310%20%10th90th$12$0.2$2.0$20.0$200.0$2.0K$20.0K

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
$7.94 / $15.49 / $21.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.96 / $18.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $16.98 / $30.90
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $16.22 / $16.22
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $16.22
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $14.45 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $9.77 / $22.39
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $32.36 / $75.86
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $23.44 / $37.15
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.07
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $13.80 / $13.80
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $19.05 / $19.05
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $8.13 / $19.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $12.88 / $32.36
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $13.80 / $13.80
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $13.80 / $13.80