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New York rates for HCPCS A4426

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.66 / $1.87 / $3.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $1.96 / $3.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.91 / $2.63 / $5.01
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.96 / $3.18 / $3.18
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.18 / $3.18 / $3.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $1.95 / $2.69
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.81 / $8.57 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.18 / $2.74 / $6.74
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.78 / $1.78 / $1.78
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $2.76 / $2.76
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.29 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.34 / $5.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $1.90 / $3.28
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.73 / $2.76 / $2.76
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $2.76 / $2.76