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New Jersey rates for HCPCS A4407

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 in or smaller, each

Facilitymedian $5 · 10th–90th $4–$80%50%10th90th$5Professionalmedian $7 · 10th–90th $3–$100%10%20%10th90th$7$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
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $7.08 / $10.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $7.41 / $8.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $7.59
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $11.22 / $16.98
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $8.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $4.68 / $12.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $6.92 / $12.02