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New Jersey rates for HCPCS A4424

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

Facilitymedian $3 · 10th–90th $2–$40%50%10th90th$3Professionalmedian $4 · 10th–90th $2–$50%10%20%10th90th$4$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
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.31 / $5.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $4.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $3.39 / $4.07
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $6.03 / $9.12
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $4.47 / $4.47
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.24 / $2.57 / $6.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $3.72 / $6.61