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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
$2.99 / $3.37 / $6.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $3.37 / $6.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $4.72 / $9.43
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.33 / $5.73 / $5.73
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.73 / $5.73 / $5.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.13 / $4.13 / $4.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $3.51 / $4.86
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.87 / $15.46 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.82 / $4.95 / $12.16
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.59 / $4.59 / $4.59
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.59 / $4.98 / $5.51
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.34 / $4.34 / $4.34
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.40 / $4.40
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.13 / $4.13 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $4.21 / $9.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $3.43 / $5.72
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.93 / $4.98 / $4.98
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.59 / $4.98 / $4.98