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New York rates for HCPCS A4420

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $2.14 / $2.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $3.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $64.57 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $2.04
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.58 / $1.62
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $1.58 / $1.66
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $1.55 / $1.58
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $50,118.72 / $75,857.76
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $1.58 / $1.86
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $1.58 / $1.58