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Alabama rates for HCPCS A4354

Insertion Tray With Drainage Bag But Without Catheter (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.99 / $11.99 / $11.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.52 / $11.99 / $14.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.27 / $12.27 / $12.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.90 / $9.90 / $9.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.42 / $8.42 / $10.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.66 / $6.99 / $10.28