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New Jersey rates for HCPCS A4415

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $4.09 / $6.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.03 / $5.03 / $5.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $4.28 / $5.92
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.98 / $5.30 / $9.22
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.57 / $5.57 / $5.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $4.18 / $7.04