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New Jersey rates for HCPCS A4379

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.25 / $10.25 / $10.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.43 / $10.25 / $17.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.91 / $13.91 / $14.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.56 / $11.82 / $14.33
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.17 / $19.30 / $27.48
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.96 / $13.96 / $13.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.16 / $10.47 / $16.26