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New York rates for HCPCS A4405

Ostomy skin barrier, nonpectin-based, paste, per oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $3.80 / $5.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $3.02 / $4.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.51 / $2.75 / $7.41
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.72 / $3.98 / $3.98
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.88 / $7.59 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.45 / $4.79
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.90 / $7.94 / $18.62
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $4.90 / $9.33
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.51
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $3.47 / $3.47
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $3.89 / $3.89
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.13 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $4.68 / $4.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $1.86 / $3.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $2.40 / $3.98
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $3.39 / $3.47
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $3.47 / $3.47