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Illinois rates for HCPCS A4354

Insertion tray with drainage bag but without catheter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $8.91 / $16.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $10.00 / $15.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $36.31 / $144.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $12.30 / $12.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $8.51 / $13.49
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $19.50 / $39.81
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $21.38 / $21.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $13.18 / $16.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $8.32 / $11.75