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New Jersey rates for HCPCS A4423

Ostomy pouch, closed; for use on barrier with locking flange, with filter (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.27 / $1.27 / $1.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $1.27 / $2.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $1.56 / $1.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.84
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.48 / $2.85
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $1.73 / $1.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $1.30 / $2.15