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New Jersey rates for HCPCS A4313

Insertion Tray Without Drainage Bag With Indwelling Catheter Foley Type Three-Way For Continuous Irrigation (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.39 / $12.39 / $12.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.93 / $12.39 / $21.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.54 / $15.54 / $16.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.56 / $13.21 / $16.01
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.64 / $23.81 / $33.22
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.88 / $16.88 / $16.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.28 / $11.78 / $12.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.15 / $12.66 / $23.29