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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
$3.10 / $3.48 / $6.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.10 / $3.67 / $6.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $3.57 / $10.54
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.51 / $5.93 / $5.93
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.93 / $5.93 / $5.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.28 / $4.28 / $4.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.64 / $3.64 / $5.03
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.12 / $16.02 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $5.34 / $13.03
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.15 / $5.15 / $5.15
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.15 / $5.15 / $5.93
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $1.95 / $1.95
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.72 / $4.72 / $4.72
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.28 / $4.28 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.64 / $4.36 / $10.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $3.55 / $6.05
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.08 / $5.15 / $5.15
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.15 / $5.15 / $5.15