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New York rates for HCPCS A4423

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

Facilitymedian $2 · 10th–90th $1$40%20%40%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 / $2.09 / $2.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.38 / $1.58 / $3.63
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.14 / $2.14
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.14 / $2.14
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.55 / $1.66 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $1.32 / $3.02
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.63 / $4.37 / $10.23
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.48 / $2.63 / $5.01
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.91 / $1.91 / $2.04
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $1.86 / $1.91
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.66 / $1.66 / $1.66
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $2.51 / $2.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.91 / $1.10 / $2.63
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.93 / $1.70 / $4.37
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.86 / $1.86 / $2.04
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $1.86 / $1.91