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New York rates for HCPCS A4430

Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.18 / $5.82 / $11.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.18 / $6.13 / $11.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.96 / $7.86 / $15.68
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.22 / $9.91 / $9.91
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.91 / $9.91 / $9.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.15 / $7.15 / $7.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.08 / $6.08 / $8.41
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.90 / $26.78 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.02 / $8.57 / $21.06
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.03 / $9.03 / $9.03
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.61 / $8.61 / $9.91
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.62 / $7.62 / $7.62
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.15 / $7.15 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.08 / $7.29 / $17.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.96 / $5.93 / $10.11
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.52 / $8.61 / $8.61
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.61 / $8.61 / $9.03