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New Jersey rates for HCPCS A4911

Drain Bag/Bottle For Dialysis Each (Special Coverage Instructions Apply)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.25 / $5.00 / $5.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.20 / $7.20 / $7.20