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New Jersey rates for HCPCS A4388

Ostomy pouch, drainable, with extended wear barrier attached, (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.98 / $2.98 / $2.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.87 / $2.98 / $5.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.66 / $3.66 / $3.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.11 / $3.11 / $4.30
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.78 / $4.01 / $6.70
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.06 / $4.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.06 / $2.35 / $3.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $3.04 / $5.07