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New Jersey rates for HCPCS A5073

Ostomy Pouch Urinary; For Use On Barrier With Flange (2 Piece) Each (Updated 01-01-2003) Cm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.17 / $2.17 / $2.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.36 / $2.17 / $3.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.67 / $2.67 / $3.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.27 / $3.41
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.58 / $2.75 / $4.71
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $2.95 / $2.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $2.21 / $3.48