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New York rates for HCPCS A4415

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.64 / $4.09 / $7.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.64 / $4.30 / $7.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.20 / $4.86 / $11.28
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.48 / $6.97 / $6.97
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.97 / $6.97 / $6.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.03 / $5.03 / $5.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $4.28 / $5.92
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.38 / $18.86 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $6.03 / $14.83
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 / $6.06 / $6.06
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.36 / $5.36 / $5.36
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.03 / $5.03 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $5.13 / $12.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.78 / $4.18 / $7.06
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.00 / $6.06 / $6.06
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.59 / $6.06 / $6.06