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New Jersey rates for HCPCS A4417

Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (one piece), each

Facilitymedian $2 · 10th–90th $2–$40%50%10th90th$2Professionalmedian $3 · 10th–90th $1–$40%20%10th90th$3$0.1$0.2$1.0$5.0$20.0

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
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $3.02 / $3.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $3.16 / $3.63
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $2.63 / $3.24
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $4.90 / $7.24
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $3.47 / $3.47
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.74 / $2.00 / $5.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $2.88 / $5.13