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Iowa rates for HCPCS A4354

Insertion tray with drainage bag but without catheter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $12.88 / $12.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $10.00 / $18.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $19.05 / $23.99
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $18.20 / $30.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.22 / $17.78 / $30.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $10.00 / $33.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $19.05 / $21.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $27.54 / $35.48
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $24.55 / $32.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $7.59 / $8.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $8.32 / $13.80
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79