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New Jersey rates for HCPCS A5056

Ostomy pouch, drainable, with extended wear barrier attached, with filter, (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.26 / $3.26 / $3.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $3.26 / $5.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.93 / $3.93 / $4.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.34 / $3.34 / $4.62
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.96 / $6.01 / $8.55
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.34 / $4.34 / $4.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $3.26 / $5.14