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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

Facilitymedian $2 · 10th–90th $1$40%50%10th90th$2Professionalmedian $1 · 10th–90th $1$30%50%10th90th$1$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

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 / $1.95 / $2.75
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.74 / $3.47
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.86 / $2.00 / $2.00
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.45 / $1.55 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $1.23 / $2.63
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.45 / $4.07 / $9.33
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.38 / $2.45 / $4.68
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.78 / $1.78 / $1.86
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $1.78 / $1.78
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.55 / $1.55 / $1.55
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.58 / $2.34 / $2.34
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.85 / $1.00 / $2.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.87 / $1.58 / $4.07
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.74 / $1.78 / $1.86
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $1.78 / $1.78