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New Jersey rates for HCPCS A4384

Ostomy faceplate equivalent, silicone ring, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.57 / $6.57 / $6.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $6.57 / $11.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.07 / $8.07 / $8.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $6.86 / $9.49
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.27 / $12.35 / $17.57
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.24 / $8.94 / $8.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.51 / $5.18 / $6.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.18 / $6.70 / $12.33