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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
$4.07 / $4.07 / $4.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $4.07 / $6.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $4.84 / $4.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.12 / $5.70
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.37 / $7.41 / $10.55
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.36 / $5.36 / $5.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.10 / $4.01 / $6.70