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New York rates for HCPCS A4399

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.46 / $8.36 / $16.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.46 / $8.42 / $16.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.82 / $10.32 / $21.10
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.28 / $14.28 / $14.28
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.28 / $14.28 / $14.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.29 / $10.29 / $12.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.75 / $8.75 / $13.16
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.14 / $38.57 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.81 / $12.34 / $30.34
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.99 / $12.99 / $12.99
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.38 / $12.38 / $14.28
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.29 / $10.29 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.75 / $10.51 / $24.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.70 / $8.55 / $14.77
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.26 / $12.38 / $12.38
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.38 / $12.38 / $12.99