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New Jersey rates for HCPCS A4411

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.98 / $6.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $4.27 / $4.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $3.63 / $4.27
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $7.59 / $10.47
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $4.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $3.39 / $7.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $3.55 / $5.62