go back

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

Facilitymedian $9 · 10th–90th $5$200%20%40%10th90th$9Professionalmedian $7 · 10th–90th $5$160%20%10th90th$7$0.1$1.0$10.0$100.0$1.0K$10.0K

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
$5.01 / $9.55 / $13.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.08 / $11.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $9.12 / $16.98
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $10.00 / $10.00
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $10.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.59 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $13.80
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $19.95 / $46.77
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $12.02 / $22.91
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $9.12 / $9.55
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $9.12
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $7.59
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $11.75 / $11.75
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $5.01 / $12.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $7.94 / $20.42
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $8.71 / $9.55
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $9.12