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Pennsylvania rates for HCPCS A4321

Therapeutic Agent For Urinary Catheter Irrigation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.31 / $1.31 / $1.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.31 / $1.31 / $1.66
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.00 / $57,255.43 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.67 / $24.56 / $24.56
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.31 / $1.31 / $1.66
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.31 / $1.31 / $1.66
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.00 / $104.00 / $104.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.29 / $3.29 / $3.29