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New Jersey rates for HCPCS A4418

Ostomy pouch, closed; without barrier attached, with filter (one piece), each

Facilitymedian $1 · 10th–90th $1–$20%50%10th90th$1Professionalmedian $1 · 10th–90th $1–$20%50%90th$1$0.0$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
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.70 / $1.70 / $1.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $1.45 / $1.70
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.62 / $2.29 / $3.47
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $1.70 / $1.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.85 / $0.98 / $2.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.07 / $1.41 / $2.45