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New York rates for HCPCS A5062

Ostomy pouch, drainable; without barrier attached (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $1.51 / $2.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.58 / $2.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $2.04 / $5.01
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.42 / $2.60 / $2.60
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.60 / $2.60 / $2.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.87 / $1.87 / $2.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $1.59 / $2.20
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.12 / $7.02 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.84 / $2.87 / $5.52
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.35 / $2.35 / $2.35
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.60
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.87 / $1.87 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $1.91 / $4.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $1.55 / $2.69
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.54
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.35