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New York rates for HCPCS A4424

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

Facilitymedian $5 · 10th–90th $2$110%10%20%10th90th$5Professionalmedian $4 · 10th–90th $3$90%20%10th90th$4$0.1$0.5$5.0$50.0$500.0$5.0K$50.0K

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
$2.00 / $5.37 / $7.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.98 / $6.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $4.68 / $9.33
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $5.50 / $5.50
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $5.50 / $5.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $4.27 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $3.39 / $7.94
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $11.22 / $26.30
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $6.76 / $12.88
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $3.16 / $3.31
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $4.79 / $4.79
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $4.27
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $6.46 / $6.46
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.34 / $2.75 / $6.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $4.27 / $11.22
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $4.79 / $4.79
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $4.79 / $4.79