go back

New Jersey rates for HCPCS A4719

"Y set" tubing for peritoneal dialysis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.18 / $2.18 / $2.18
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.63 / $12.50 / $12.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.57 / $5.57 / $5.57