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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

Facilitymedian $6 · 10th–90th $3–$140%20%10th90th$6Professionalmedian $5 · 10th–90th $4–$110%20%40%10th90th$5$0.1$1.0$10.0$100.0$1.0K$10.0K

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
$3.02 / $6.76 / $9.55
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.01 / $7.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $4.90 / $12.02
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $6.92 / $6.92
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $6.92 / $6.92
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.37 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $9.77
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $14.13 / $33.11
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $8.51 / $16.22
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.57 / $4.57 / $4.79
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $6.03 / $6.03
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.37 / $5.37
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $8.13 / $8.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $3.55 / $8.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.62 / $14.13
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.57 / $6.03 / $6.03
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $6.03 / $6.03