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New York rates for HCPCS A4414

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $5.50 / $7.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.98 / $6.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $4.68 / $10.72
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.37 / $5.75 / $5.75
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $5.75 / $5.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $10.96 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $3.55 / $6.92
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $11.48 / $26.92
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $7.08 / $13.18
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.57 / $4.57 / $4.79
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $5.01 / $5.01
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $4.37 / $4.37
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $6.76 / $6.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $2.69 / $4.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $3.47 / $5.75
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.57 / $4.90 / $5.01
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $5.01 / $5.01