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New Jersey rates for HCPCS A5071

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $4.09 / $6.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.04 / $5.04 / $5.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $4.28 / $5.93
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.99 / $9.24
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.84 / $3.47 / $5.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.20 / $4.19 / $6.98