go back

New Jersey rates for HCPCS A4375

Ostomy pouch, drainable, with faceplate attached, plastic, each

Facilitymedian $11 · 10th–90th $9$170%50%10th90th$11Professionalmedian $14 · 10th–90th $8$200%10%20%10th90th$14$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
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$10.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$14.13
Typical High
$19.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$16.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$13.49
Typical High
$13.49
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$23.44
Typical High
$33.11
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
United
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$9.33
Typical High
$24.55
United
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$13.49
Typical High
$23.44