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New Jersey rates for HCPCS A4388

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

Facilitymedian $2 · 10th–90th $2–$40%50%90th$2Professionalmedian $3 · 10th–90th $2–$50%20%10th90th$3$0.1$0.2$1.0$5.0$20.0

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
$1.66 / $3.02 / $5.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $4.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.09 / $3.80
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $5.50 / $8.32
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $4.07 / $4.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $2.34 / $6.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $3.39 / $5.89