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New Jersey rates for HCPCS A4315

Insertion Tray With Drainage Bag With Indwelling Catheter Foley Type Two-Way All Silicone (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.61 / $17.61 / $17.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.29 / $17.61 / $30.52
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.40 / $59.40 / $59.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.29 / $22.13 / $22.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.80 / $18.80 / $26.04
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.68 / $33.90 / $47.24
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $23.98 / $23.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.42 / $17.98 / $33.10