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New Jersey rates for HCPCS A4416

Ostomy pouch, closed, with barrier attached, with filter (one piece), each

Facilitymedian $1 · 10th–90th $1–$20%50%90th$1Professionalmedian $2 · 10th–90th $1–$30%20%10th90th$2$0.1$0.2$1.0$5.0

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
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $2.29 / $2.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $1.95 / $2.40
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $3.55 / $5.37
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $2.57
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.29 / $1.48 / $3.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.62 / $2.19 / $3.89