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Washington, DC 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
$11.04 / $11.04 / $11.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.69 / $11.04 / $11.04
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.30 / $9.30 / $9.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.42 / $8.42 / $8.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.51 / $32.42 / $32.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.44 / $8.15 / $14.31