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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

Facilitymedian $3 · 10th–90th $1$70%20%40%10th90th$3Professionalmedian $2 · 10th–90th $1$50%20%40%10th90th$2$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
$1.00 / $3.16 / $4.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $3.39 / $5.50
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.24 / $3.24
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $3.24 / $3.24
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.34 / $2.51 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $4.47
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $6.61 / $15.14
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $3.98 / $7.59
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.75 / $2.75 / $2.95
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $2.82 / $2.82
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $2.51 / $2.51
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $3.80 / $3.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.35 / $1.66 / $3.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $2.57 / $6.61
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.75 / $2.75 / $2.95
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $2.82 / $2.82