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New Jersey rates for HCPCS A4376

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.47 / $32.47 / $32.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.36 / $32.47 / $55.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.94 / $39.94 / $39.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.95 / $33.95 / $46.99
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.74 / $61.16 / $87.09
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.48 / $36.00 / $44.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.61 / $33.17 / $60.74