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New Jersey rates for HCPCS A4409

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 in or smaller, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $5.01 / $7.08
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $8.51 / $8.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $5.25 / $5.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $5.25
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $7.94 / $11.48
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $5.75 / $5.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $4.07 / $8.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $4.37 / $6.76