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New York rates for HCPCS A4410

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $10.23 / $14.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $7.94 / $12.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $10.72 / $19.50
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $10.47 / $10.47
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $10.47 / $10.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $20.42 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $6.46 / $12.59
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $21.38 / $48.98
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $12.88 / $24.55
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $4.79 / $5.13
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $9.12 / $9.12
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.13 / $8.13
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $12.30 / $12.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $4.90 / $7.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $6.31 / $10.72
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $9.12 / $9.12
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $9.12 / $9.12