go back

Pennsylvania rates for HCPCS A4301

Implantable access total catheter, port/reservoir (e.g., venous, arterial, epidural, subarachnoid, peritoneal, etc.)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $316.23 / $416.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $33.88 / $39.81
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $346.74 / $346.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $69.18 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $316.23 / $416.87
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.88 / $43.65
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $60.26 / $67.61