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New York rates for HCPCS A5051

Ostomy pouch, closed; with barrier attached (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $2.34 / $3.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.26 / $2.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $2.19 / $3.98
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.24 / $2.40 / $2.40
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $4.57 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $2.88
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $4.79 / $11.22
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $2.95 / $5.62
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $2.19 / $2.29
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.09 / $2.09 / $2.19
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.68 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.91 / $2.82 / $2.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $1.12 / $1.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $1.45 / $2.45
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.09 / $2.19 / $2.29
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.09 / $2.09 / $2.19