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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

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
$4.57 / $4.57 / $5.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $3.89 / $4.57
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $7.08 / $10.23
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $5.13 / $5.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.57 / $3.63 / $7.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.80 / $6.03