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New York rates for HCPCS A5056

Ostomy pouch, drainable, with extended wear barrier attached, with filter, (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.84 / $3.26 / $6.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.84 / $3.70 / $6.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.20 / $4.22 / $8.52
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.05 / $5.44 / $5.44
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.44 / $5.44 / $5.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.93 / $3.93 / $4.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.34 / $3.34 / $4.62
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.53 / $14.69 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.85 / $5.05 / $11.95
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.05 / $5.05 / $5.05
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.05 / $4.30 / $5.44
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.29 / $5.29 / $5.29
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.93 / $3.93 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.34 / $4.00 / $9.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.17 / $3.31 / $5.88
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.05 / $4.05 / $4.05
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.05 / $4.05 / $5.05