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New Jersey rates for HCPCS A4354

Insertion tray with drainage bag but without catheter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.99 / $7.99 / $7.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $7.99 / $13.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.42 / $8.42 / $8.42
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $21.39 / $24.55
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.87 / $10.87 / $10.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.99 / $8.15 / $10.45