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New Jersey rates for HCPCS A4380

Ostomy Pouch Urinary With Faceplate Attached Rubber Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.48 / $25.48 / $25.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.98 / $25.48 / $43.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.45 / $34.45 / $35.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.28 / $29.28 / $35.47
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.64 / $47.99 / $68.33
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.24 / $34.70 / $34.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.27 / $26.02 / $43.84