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New Jersey rates for HCPCS A4394

Ostomy Deodorant With Or Without Lubricant For Use In Ostomy Pouch Per Fluid Ounce

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.76 / $1.76 / $1.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $1.76 / $3.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $2.18 / $2.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $2.56
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $1.91 / $3.98
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.49 / $1.49 / $2.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.81 / $2.80