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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.00 / $6.73 / $13.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $7.10 / $13.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.96 / $8.96 / $8.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.91 / $8.91 / $18.93
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.69 / $11.49 / $11.49
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.49 / $11.49 / $11.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.28 / $8.28 / $8.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.05 / $7.05 / $9.75
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.79 / $31.03 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.50 / $9.93 / $24.41
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.73 / $8.73 / $8.73
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.73 / $9.97 / $10.48
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.60 / $6.60 / $6.60
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.84 / $8.84 / $8.84
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.28 / $8.28 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.05 / $8.28 / $20.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.59 / $6.88 / $11.72
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.86 / $9.97 / $9.97
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.73 / $9.97 / $9.97