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New Jersey rates for HCPCS A4387

Ostomy pouch, closed, with barrier attached, with built-in convexity (one piece), each

Facilitymedian $2 · 10th–90th $1–$20%50%10th90th$2Professionalmedian $2 · 10th–90th $1–$30%20%40%10th90th$2$0.1$0.2$1.0$5.0

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
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $2.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.91 / $1.91 / $2.34
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.62 / $1.62 / $1.91
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $2.95 / $4.37
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $2.09 / $2.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.07 / $1.48 / $3.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $1.91 / $3.24