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New York rates for HCPCS A4427

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.69 / $1.90 / $3.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $1.90 / $3.68
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.57 / $5.12
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.01 / $3.24 / $3.24
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.24 / $3.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.34 / $2.34 / $2.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $1.99 / $2.75
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.90 / $8.77 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.22 / $2.81 / $6.90
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.78 / $2.78 / $2.78
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.78 / $2.81 / $3.24
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $2.63 / $2.63
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.49 / $2.49 / $2.49
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.34 / $2.34 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $2.39 / $5.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.94 / $3.35
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.78 / $2.81 / $2.81
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.78 / $2.81 / $2.81