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New Jersey rates for HCPCS A4316

Insertion tray with drainage bag with indwelling catheter, Foley type, three-way, for continuous irrigation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.39 / $18.39 / $18.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.15 / $18.39 / $32.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.37 / $19.37 / $19.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.19 / $16.46 / $19.95
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.25 / $36.51 / $49.32
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.57 / $15.57 / $25.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.06 / $18.79 / $34.57