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New Jersey rates for HCPCS A4426

Ostomy pouch, drainable; for use on barrier with locking flange (two-piece system), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.87 / $1.87 / $1.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.87 / $3.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $1.95 / $2.69
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.22 / $2.35 / $4.19
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $2.54 / $2.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.90 / $3.15