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New Jersey rates for HCPCS A4433

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.43 / $2.27 / $3.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.81 / $2.81 / $2.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $2.39 / $3.31
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.29 / $3.49 / $5.16
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.11 / $3.11 / $3.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $2.33 / $3.89