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New Jersey rates for HCPCS A4381

Ostomy pouch, urinary, for use on faceplate, plastic, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.15 / $3.15 / $3.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.97 / $3.15 / $5.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.88 / $3.88 / $3.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $3.30 / $4.57
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.90 / $5.94 / $8.46
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.66 / $2.66 / $4.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $3.23 / $5.94