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Massachusetts rates for HCPCS A4351

Intermittent Urinary Catheter; Straight Tip With Or Without Coating (Teflon Silicone Silicone Elastomer Or Hydrophilic Etc.) Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.11 / $1.11 / $1.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $1.11 / $1.85
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $5.14 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $1.71 / $2.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.63 / $1.63 / $4.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.50 / $1.66 / $1.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.38 / $1.52 / $3.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.50 / $3.00
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.06 / $2.17
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.34 / $8.34 / $250.20
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.39 / $1.39
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.14 / $80.00 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.84 / $1.27 / $3.45
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $1.61 / $1.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.84 / $1.27 / $2.41