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New Jersey rates for HCPCS A5057

Ostomy Pouch Drainable With Extended Wear Barrier Attached With Built In Convexity With Filter (1 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.71 / $6.71 / $6.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.03 / $6.71 / $11.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.07 / $8.07 / $8.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $6.86 / $9.49
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.26 / $12.34 / $17.57
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.63 / $8.93 / $8.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.17 / $6.70 / $11.28