go back

California 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
$4.42 / $4.84 / $47.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.42 / $7.21 / $47.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.43 / $6.46 / $10.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.43 / $7.43 / $15.12
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.32 / $24.32 / $34.86
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.18 / $41.68 / $62.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.42 / $8.42 / $8.42
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.50 / $18.14 / $22.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.90 / $20.63 / $37.95
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.01 / $80.00 / $85.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.94 / $112.59 / $112.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.16 / $15.16 / $15.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.80 / $16.50 / $22.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.42 / $8.42 / $15.70
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.12 / $31.12 / $31.12
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.20 / $13.79 / $17.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.58 / $7.43 / $18.48