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New York rates for HCPCS A5071

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.65 / $4.09 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.65 / $4.33 / $7.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.03 / $4.41 / $10.73
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.50 / $6.99 / $6.99
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.99 / $6.99 / $6.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.04 / $5.04 / $5.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $4.28 / $5.93
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.40 / $18.89 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.80 / $6.05 / $14.87
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.45 / $4.45 / $4.45
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $6.07 / $6.07
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $6.86 / $6.86
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.04 / $5.04 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.04 / $4.28 / $12.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.79 / $4.23 / $7.08
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.00 / $6.07 / $6.07
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $6.07 / $6.07