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Montana 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
Professional
Modifier
Low / Median / High Price
$2.95 / $6.46 / $31.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.53 / $9.53 / $9.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.26 / $10.26 / $10.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.51 / $10.26 / $10.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.33 / $9.77 / $10.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.70 / $7.87 / $11.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $4.57 / $5.24