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New Jersey rates for HCPCS A4413

Ostomy pouch, drainable, high output, for use on a barrier with flange (two-piece system), with filter, each

Facilitymedian $3 · 10th–90th $3–$50%50%10th90th$3Professionalmedian $4 · 10th–90th $2–$60%10%20%10th90th$4$0.1$0.5$2.0$10.0

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
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.98 / $6.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.57 / $4.57 / $5.75
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $4.68
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $7.08 / $10.72
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $5.13 / $5.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $2.95 / $7.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $4.27 / $7.59