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New Jersey rates for HCPCS A4351

Intermittent urinary catheter; straight tip, with or without coating (Teflon, silicone, or silicone elastomer, etc.), each

Facilitymedian $1 · 10th–90th $1–$20%50%10th90th$1Professionalmedian $1 · 10th–90th $1–$20%20%40%10th90th$1$1.0$2.0$5.0$10.0

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $2.04 / $2.04
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.20 / $1.51 / $1.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.29 / $1.51
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $2.09 / $3.16
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.62 / $1.62 / $1.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.83 / $1.15 / $2.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.07 / $1.35 / $2.34