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New Jersey rates for HCPCS A4372

Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear, with built-in convexity, each

Facilitymedian $2 · 10th–90th $2–$40%50%90th$2Professionalmedian $3 · 10th–90th $2–$40%20%10th90th$3$0.1$0.2$1.0$5.0$20.0

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
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.58 / $3.02 / $4.27
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $3.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $3.24 / $3.24
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $5.50 / $8.13
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $3.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.95 / $2.24 / $6.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $3.24 / $5.75