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New York rates for HCPCS A4433

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.27 / $4.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.40 / $4.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $3.15 / $6.18
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $3.90 / $3.90
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.90 / $3.90 / $3.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.81 / $2.81 / $2.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $2.39 / $3.31
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.69 / $10.55 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.77 / $3.49 / $8.30
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.55 / $3.55 / $3.55
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.37 / $3.37 / $3.90
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.81 / $2.81 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $2.87 / $6.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.56 / $2.33 / $4.03
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.34 / $3.37 / $3.37
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.37 / $3.37 / $3.55