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New York rates for HCPCS A4408

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

Facilitymedian $10 · 10th–90th $6–$230%20%10th90th$10Professionalmedian $9 · 10th–90th $6–$190%20%10th90th$9$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
$6.03 / $11.22 / $15.85
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $7.94 / $13.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $8.91 / $20.89
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $11.48 / $11.48
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $11.48
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $16.22
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $23.44 / $53.70
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $14.13 / $26.92
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 / $10.00 / $10.00
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $8.91
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $13.49 / $13.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $5.89 / $14.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $8.91 / $23.99
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $9.77 / $10.00
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $10.00 / $10.00