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Arizona rates for HCPCS A4354

Insertion tray with drainage bag but without catheter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $10.00 / $14.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.68 / $7.76 / $19.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $20.89 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $8.51 / $8.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $14.45 / $43.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $6.92 / $109.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $6.92 / $10.47