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New Jersey rates for HCPCS A4427

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.90 / $1.90 / $1.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.19 / $1.90 / $3.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.34 / $2.34 / $2.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $1.99 / $2.75
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.49 / $2.64 / $4.29
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $1.61 / $2.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.94 / $3.04