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Massachusetts rates for HCPCS A4310

Insertion tray without drainage bag and without catheter (accessories only)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.71 / $4.71 / $4.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.70 / $4.88 / $6.95
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.62 / $16.35 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.27 / $10.54 / $59.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.96 / $6.96 / $20.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.81 / $7.07 / $7.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.51 / $5.51 / $6.82
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.26 / $7.26 / $7.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.78 / $8.78 / $8.78
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.90 / $80.00 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $6.18 / $59.36
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.89 / $6.89 / $6.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $6.18 / $15.29