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New Jersey rates for HCPCS A4419

Ostomy pouch, closed; for use on barrier with nonlocking flange, with filter (two 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
$1.45 / $1.45 / $1.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $1.23 / $1.48
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $2.24 / $3.31
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.62 / $1.62 / $1.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.81 / $0.93 / $2.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.02 / $1.38 / $2.34