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New Jersey rates for HCPCS A4369

Ostomy skin barrier, liquid (spray, brush, etc.), per oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.65 / $1.65 / $1.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $1.65 / $2.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.80 / $2.04 / $2.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $1.73 / $2.40
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.54 / $1.63 / $3.73
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $2.25 / $2.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.69 / $3.11