go back

New York rates for HCPCS A4399

Ostomy irrigation supply; cone/catheter, with or without brush

Facilitymedian $13 · 10th–90th $7$290%20%10th90th$13Professionalmedian $10 · 10th–90th $7$220%20%10th90th$10$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
$7.08 / $13.80 / $19.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $10.00 / $15.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $14.13 / $22.39
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $14.13 / $14.13
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $14.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $12.59 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $19.95
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $28.84 / $67.61
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $17.38 / $33.11
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $13.49
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $12.30 / $12.88
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $16.60 / $16.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $7.24 / $17.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $11.22 / $29.51
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $12.30 / $13.49
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $12.30 / $12.88