go back

New York rates for HCPCS A4411

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $5.75 / $8.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.98 / $6.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $3.80 / $12.02
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $5.89 / $5.89
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $5.89 / $5.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $11.48 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $3.63 / $7.08
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $12.02 / $28.18
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $7.94 / $14.13
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.13 / $5.13 / $5.37
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $5.13 / $5.13
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $4.68 / $4.68
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $6.92 / $6.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $2.75 / $4.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $3.55 / $6.03
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.13 / $5.13 / $5.37
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $5.13 / $5.13