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New Jersey rates for HCPCS A5061

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.41 / $2.41 / $2.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $2.41 / $4.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.97 / $2.97 / $3.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.52 / $3.49
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.80 / $2.98 / $5.43
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $3.28 / $3.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.90 / $2.46 / $4.09