go back

New Jersey rates for HCPCS A4383

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.23 / $19.23 / $19.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.06 / $19.23 / $32.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.07 / $26.07 / $26.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.07 / $22.16 / $26.07
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.97 / $36.22 / $51.59
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.28 / $16.28 / $26.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.17 / $19.64 / $32.54