go back

New York rates for HCPCS A4412

Ostomy pouch, drainable, high output, for use on a barrier with flange (two-piece system), without filter, each

Facilitymedian $3 · 10th–90th $1$60%20%40%10th90th$3Professionalmedian $2 · 10th–90th $1$70%20%40%10th90th$2$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $3.02 / $4.37
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.39 / $7.08
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $3.16 / $3.16
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $3.16 / $3.16
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $2.82 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $1.95 / $4.57
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $6.31 / $14.79
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $4.79 / $7.41
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.88 / $2.88 / $3.02
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $2.75 / $2.88
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.17 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $3.72 / $3.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.32 / $1.58 / $3.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.35 / $2.51 / $6.31
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.69 / $2.75 / $3.02
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $2.75 / $2.88