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New Jersey rates for HCPCS A4390

Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (one piece), each

Facilitymedian $6 · 10th–90th $5–$90%50%10th90th$6Professionalmedian $8 · 10th–90th $4–$110%10%10th90th$8$0.1$0.5$2.0$10.0$50.0

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
$6.03 / $6.03 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $7.94 / $10.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $8.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $6.92 / $8.32
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $12.30 / $18.62
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $8.91
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.47 / $5.13 / $13.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $7.59 / $13.49