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New Jersey rates for HCPCS A4361

Ostomy faceplate, each

Facilitymedian $12 · 10th–90th $9$150%50%10th90th$12Professionalmedian $15 · 10th–90th $8$210%10%20%10th90th$15$0.2$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $12.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $14.13 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $17.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $15.49
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $19.95 / $32.36
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $16.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $10.00 / $26.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $14.13 / $23.99