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New York rates for HCPCS A4433

Ostomy pouch, urinary; for use on barrier with locking flange (two piece), each

Facilitymedian $4 · 10th–90th $2$80%20%40%10th90th$4Professionalmedian $3 · 10th–90th $2$60%20%10th90th$3$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
$2.00 / $3.80 / $5.37
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $2.04 / $4.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $4.07 / $6.61
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $3.89 / $3.89
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $3.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.82 / $2.95 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $2.40 / $5.25
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $7.94 / $18.20
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $4.79 / $9.12
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $3.72
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $3.39 / $3.55
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $4.57 / $4.57
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.62 / $2.00 / $4.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $3.09 / $8.13
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.31 / $3.39 / $3.72
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $3.39 / $3.55