go back

New York rates for HCPCS A4407

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 in or smaller, each

Facilitymedian $9 · 10th–90th $5$200%20%40%10th90th$9Professionalmedian $8 · 10th–90th $5$170%20%10th90th$8$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
$5.01 / $9.77 / $14.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $7.08 / $10.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $8.71 / $17.78
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $10.23 / $10.23
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $10.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $7.76 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $14.13
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $20.42 / $47.86
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $12.59 / $23.44
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $9.12
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $8.91 / $8.91
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $7.76 / $7.76
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $12.02 / $12.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $5.25 / $12.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $7.94 / $21.38
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $9.12
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $8.91 / $8.91