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New Jersey rates for HCPCS A5072

Ostomy Pouch Urinary; Without Barrier Attached (1piece) Each (Updated 01-01-2003) 30)

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
$1.51 / $2.41 / $4.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $2.86 / $2.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.43 / $2.95
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.54 / $5.77 / $6.13
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $3.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.92 / $2.46 / $3.82