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New York rates for HCPCS A4431

Ostomy pouch, urinary; with barrier attached, with faucet-type tap with valve (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.78 / $4.24 / $8.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.78 / $4.26 / $8.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.34 / $5.27 / $11.40
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.72 / $7.23 / $7.23
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.23 / $7.23 / $7.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.59 / $5.59 / $5.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.75 / $4.75 / $6.45
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.67 / $19.51 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $6.24 / $15.35
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.60 / $6.60 / $6.60
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.28 / $6.28 / $7.23
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.59 / $5.59 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.75 / $5.37 / $11.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.89 / $4.33 / $7.94
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.22 / $6.28 / $6.28
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.28 / $6.28 / $6.60