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New Jersey rates for HCPCS A4435

Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.98 / $7.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $4.79 / $4.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.07 / $4.79
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $8.71 / $12.02
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $5.37 / $5.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.69 / $3.80 / $8.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $3.98 / $6.46