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New York rates for HCPCS A4434

Ostomy pouch, urinary; for use on barrier with locking flange, with faucet-type tap with valve (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.57 / $4.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.58 / $4.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $3.47 / $9.08
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $4.38 / $4.38
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.38 / $4.38 / $4.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.51 / $3.51 / $3.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $2.98 / $3.90
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $11.81 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.01 / $3.78 / $9.28
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.99 / $3.99 / $3.99
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $3.80 / $4.38
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.51 / $3.51 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $3.25 / $6.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $2.62 / $4.53
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.76 / $3.80 / $3.80
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $3.80 / $3.99