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New Jersey rates for HCPCS A4424

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $3.24 / $3.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $3.24 / $5.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.40 / $3.40 / $4.70
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $4.04 / $7.32
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.11 / $4.42 / $4.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.59 / $3.32 / $5.15