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New York rates for HCPCS A5073

Ostomy Pouch Urinary; For Use On Barrier With Flange (2 Piece) Each (Updated 01-01-2003) Cm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $2.17 / $4.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $2.18 / $4.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.13 / $2.87 / $5.64
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $3.56 / $3.56
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.56 / $3.56 / $3.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.67 / $2.67 / $3.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.27 / $3.41
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.28 / $9.63 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.44 / $3.08 / $7.58
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.23 / $3.23 / $3.23
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.08 / $3.08 / $3.56
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.97 / $2.97 / $2.97
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.67 / $2.67 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.62 / $6.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $2.13 / $3.68
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.08 / $3.08 / $3.35
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.08 / $3.08 / $3.23