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New Jersey rates for HCPCS A4378

Ostomy pouch, drainable, for use on faceplate, rubber, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.99 / $20.99 / $20.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.16 / $20.99 / $35.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.81 / $25.81 / $25.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.94 / $21.94 / $30.36
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.24 / $39.52 / $56.28
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.58 / $28.58 / $28.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.55 / $21.43 / $39.44