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New Jersey rates for HCPCS A5052

Ostomy pouch, closed; without barrier attached (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.01 / $1.01 / $1.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.64 / $1.01 / $1.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.25 / $1.25 / $1.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $1.06 / $2.25
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.91 / $2.74 / $2.92
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.70 / $1.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $1.04 / $1.63