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New Jersey rates for HCPCS A4405

Ostomy Skin Barrier Non-Pectin Based Paste Per Ounce

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $2.31 / $2.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $2.31 / $3.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $2.86 / $3.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $2.43 / $3.37
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $2.58 / $5.25
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.60 / $3.18 / $3.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $2.38 / $3.73