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New York rates for HCPCS A5072

Ostomy pouch, urinary; without 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
$2.15 / $2.41 / $4.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $2.52 / $6.55
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
$2.86 / $2.86 / $2.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.43 / $2.95
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
$2.91 / $4.54 / $8.74
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.74 / $3.74 / $3.74
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.56 / $3.56 / $4.11
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $2.86 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.43 / $5.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $2.46 / $4.21
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.56 / $3.56 / $4.03
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.56 / $3.56 / $3.74