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New York rates for HCPCS A4416

Ostomy pouch, closed, with barrier attached, with filter (one piece), each

Facilitymedian $3 · 10th–90th $1$60%50%10th90th$3Professionalmedian $2 · 10th–90th $1$50%20%40%10th90th$2$0.1$0.5$5.0$50.0$500.0$5.0K$50.0K

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 / $3.09 / $4.37
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $2.82 / $5.50
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.24 / $3.24
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $3.24 / $3.24
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $2.45 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $1.95 / $4.47
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $6.46 / $15.14
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $3.89 / $7.41
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.63 / $2.63 / $2.75
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $2.75 / $2.75
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $3.80 / $3.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.35 / $1.58 / $3.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.38 / $2.51 / $6.46
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.63 / $2.75 / $2.75
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $2.75 / $2.75