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Connecticut 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
$10.61 / $10.61 / $10.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.81 / $10.61 / $13.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.43 / $7.43 / $7.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.42 / $8.42 / $8.42
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.33 / $21.39 / $30.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.28 / $8.23 / $12.56