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New York rates for HCPCS A4419

Ostomy pouch, closed; for use on barrier with nonlocking flange, with filter (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.06 / $1.19 / $2.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.84 / $1.19 / $2.27
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.40 / $1.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.59 / $3.18
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.87 / $2.00 / $2.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.45 / $1.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.71
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.41 / $5.42 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.74 / $4.26
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.79 / $1.79 / $1.79
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $1.76 / $2.00
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $1.69
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $1.55 / $1.55
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.45 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.48 / $3.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $1.21 / $2.04
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $1.76 / $1.76
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $1.76 / $1.79