go back

New York rates for HCPCS A4409

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 in or smaller, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.78 / $4.24 / $8.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $4.24 / $8.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.34 / $5.78 / $11.69
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.72 / $7.23 / $7.23
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.23 / $7.23 / $7.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.22 / $5.22 / $5.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $4.44 / $6.14
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.67 / $19.51 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.97 / $6.24 / $15.35
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.61 / $6.61 / $6.61
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.28 / $6.28 / $7.23
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $5.00 / $5.00
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.56 / $5.56 / $5.56
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.22 / $5.22 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $5.32 / $12.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.89 / $4.33 / $7.37
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.22 / $6.28 / $6.28
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.28 / $6.28 / $6.61