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New York rates for HCPCS A4349

Male external catheter, with or without adhesive, disposable, each

Facilitymedian $2 · 10th–90th $1$40%20%10th90th$2Professionalmedian $1 · 10th–90th $1$40%50%10th90th$1$0.0$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
$1.00 / $2.00 / $3.24
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.26 / $1.41 / $3.39
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $2.34 / $2.34
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $2.34 / $2.34
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.47 / $4.47 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $1.45 / $3.31
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.88 / $4.79 / $10.96
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $4.07 / $5.75
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $1.51 / $1.62
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.51 / $1.62 / $1.74
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.31 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $2.75 / $2.75
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $10.72
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.20 / $2.51 / $5.25
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $1.62 / $1.62
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.51 / $1.62 / $1.74