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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.85 / $2.85 / $2.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $2.85 / $4.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.77 / $3.77 / $3.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $3.20 / $3.88
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.36 / $5.40 / $7.69
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.41 / $3.90 / $3.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.92 / $5.38