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New York rates for HCPCS A4301

Implantable access total catheter, port/reservoir (e.g., venous, arterial, epidural, subarachnoid, peritoneal, etc.)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $16.98 / $16.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $33.88 / $41.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $19.05 / $30.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $69.18 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $234.42
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,118.72 / $53,703.18 / $75,857.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $19.95