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New Jersey rates for HCPCS A5061

Ostomy pouch, drainable; with barrier attached, (one piece), each

Facilitymedian $2 · 10th–90th $2–$30%50%10th90th$2Professionalmedian $3 · 10th–90th $1–$40%20%10th90th$3$0.1$0.2$1.0$5.0$20.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.45 / $3.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $2.95 / $3.16
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $2.51 / $2.95
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $4.47 / $6.76
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.31 / $3.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.66 / $1.91 / $5.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $2.75 / $4.79