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New York rates for HCPCS A4435

Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each

Facilitymedian $6 · 10th–90th $3$130%20%10th90th$6Professionalmedian $5 · 10th–90th $4$120%20%10th90th$5$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
$3.02 / $6.46 / $9.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.01 / $7.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $4.37 / $13.18
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $6.76 / $6.76
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $6.76 / $6.76
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $4.07 / $9.33
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $13.49 / $31.62
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $8.71 / $15.49
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $6.61
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.37 / $6.31
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $7.94 / $7.94
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $3.47 / $8.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $5.37 / $13.80
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $6.31 / $7.59
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.37 / $6.31