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New Jersey rates for HCPCS A4358

Urinary Drainage Bag Leg Or Abdomen Vinyl With Or Without Tube With Straps Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.51 / $4.51 / $4.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.72 / $4.51 / $7.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $5.57 / $5.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.73 / $4.73 / $6.36
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $8.06 / $11.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.16 / $6.16 / $6.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.71 / $4.62 / $8.46