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New Jersey rates for HCPCS A5051

Ostomy Pouch Closed; With Barrier Attached (1 Piece) Each (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $1.41 / $2.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $1.73 / $1.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.47 / $2.04
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.98 / $3.17
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.92 / $1.92 / $1.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.44 / $2.43