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New York rates for HCPCS A4400

Ostomy irrigation set

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.26 / $33.35 / $54.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.26 / $33.35 / $54.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.08 / $36.35 / $77.48
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.97 / $48.36 / $48.36
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.36 / $48.36 / $48.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.02 / $41.02 / $41.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.86 / $34.86 / $46.87
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.04 / $130.59 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.19 / $44.59 / $102.73
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.39 / $30.39 / $30.39
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.39 / $41.96 / $41.96
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.36 / $20.36 / $20.36
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.02 / $41.02 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.86 / $35.68 / $98.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.30 / $29.00 / $53.21
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.22 / $41.96 / $41.96
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.39 / $41.96 / $41.96