go back

New York rates for HCPCS A4424

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.89 / $3.24 / $6.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $3.24 / $6.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.33 / $4.38 / $8.73
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.15 / $5.54 / $5.54
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.54 / $5.54 / $5.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.40 / $3.40 / $4.70
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.65 / $14.96 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $4.79 / $11.77
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.18 / $3.18 / $3.18
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.18 / $4.80 / $4.80
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.01 / $3.01 / $3.01
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.26 / $4.26 / $4.26
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.00 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.40 / $4.07 / $9.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $3.32 / $5.70
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.75 / $4.80 / $4.80
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.18 / $4.80 / $4.80