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New Jersey rates for HCPCS A4355

Irrigation Tubing Set For Continuous Bladder Irrigation Through A Three-Way Indwelling Foley Catheter Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.08 / $6.08 / $6.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.82 / $6.08 / $9.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.85 / $5.85 / $6.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.97 / $5.08 / $6.03
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.39 / $11.46 / $16.32
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.28 / $8.28 / $8.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.98 / $6.22 / $10.30