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New Jersey rates for HCPCS A4391

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

Facilitymedian $4 · 10th–90th $4$60%50%10th90th$4Professionalmedian $6 · 10th–90th $3$80%10%10th90th$6$0.1$0.5$2.0$10.0

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
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.01 / $7.94
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $6.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $6.17
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $8.91 / $13.49
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $6.61 / $6.61
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.31 / $3.80 / $10.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $5.50 / $9.77