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Louisiana rates for HCPCS A4310

Insertion Tray Without Drainage Bag And Without Catheter (Accessories Only) (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.14 / $7.57 / $7.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.70 / $6.85 / $8.01
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.71 / $3.71 / $3.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.32 / $15.92 / $22.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.51 / $6.63 / $6.63
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.48 / $7.48 / $7.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.48 / $6.48 / $6.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.51 / $5.51 / $5.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.05 / $5.08 / $7.58