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New York rates for HCPCS A4326

Male external catheter with integral collection chamber, any type, each

Facilitymedian $7 · 10th–90th $5$210%10%20%10th90th$7Professionalmedian $9 · 10th–90th $6$180%20%10th90th$9$0.2$2.0$20.0$200.0$2.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $10.23 / $14.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $8.91 / $12.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $6.76 / $20.42
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $10.72 / $10.72
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $10.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $9.12 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $7.76 / $17.78
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $21.38 / $50.12
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $13.80 / $25.12
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $4.90 / $5.13
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $7.41 / $7.94
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.08
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $12.59 / $12.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $7.08 / $13.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $8.51 / $22.39
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $7.41 / $7.41
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $7.41 / $7.94