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New York rates for HCPCS A5061

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.15 / $2.41 / $4.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $2.41 / $4.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.38 / $3.18 / $6.34
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.82 / $4.11 / $4.11
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.11 / $4.11 / $4.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.97 / $2.97 / $3.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.52 / $3.49
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.94 / $11.12 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.80 / $3.56 / $8.74
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.40 / $3.40 / $3.40
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.40 / $3.56 / $4.08
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.97 / $2.97 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.89 / $7.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $2.46 / $4.20
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.10 / $3.56 / $3.56
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.40 / $3.56 / $3.56