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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
$9.90 / $9.90 / $9.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $9.90 / $14.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.36 / $10.30 / $25.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.80 / $14.53 / $34.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.42 / $8.42 / $8.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.90 / $16.50 / $34.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.32 / $6.99 / $109.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.83 / $6.99 / $10.53