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New Jersey rates for HCPCS A4379

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

Facilitymedian $10 · 10th–90th $8–$140%50%10th90th$10Professionalmedian $12 · 10th–90th $7–$180%10%20%10th90th$12$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $12.02 / $18.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $14.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $11.75 / $11.75
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $19.50 / $28.84
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $13.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $8.13 / $21.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $11.75 / $20.42