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New Jersey rates for HCPCS A4380

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

Facilitymedian $25 · 10th–90th $19–$350%50%10th90th$25Professionalmedian $31 · 10th–90th $18–$440%10%20%10th90th$31$0.5$2.0$10.0$50.0$200.0

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
$25.12 / $25.12 / $25.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $30.90 / $43.65
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $29.51 / $29.51
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $48.98 / $72.44
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $34.67
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $19.95 / $53.70
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $28.84 / $51.29