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New Jersey rates for HCPCS A5112

Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $19.95 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $26.92 / $41.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $24.55 / $28.84
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $45.71 / $63.10
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $27.54 / $27.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $22.91 / $41.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $21.88 / $33.88