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New Jersey rates for HCPCS A4328

Female External Urinary Collection Device; Pouch Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.13 / $7.13 / $7.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $7.13 / $10.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.70 / $5.95 / $5.95
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.31 / $19.10 / $25.52
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.69 / $9.69 / $9.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.55 / $7.28 / $9.33