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Louisiana rates for HCPCS A4354

Insertion tray with drainage bag but without catheter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.46 / $11.65 / $11.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.32 / $10.83 / $13.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.35 / $24.52 / $34.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.50 / $10.23 / $10.23
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.94 / $11.94 / $11.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.90 / $9.90 / $9.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.42 / $8.42 / $8.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.66 / $7.83 / $11.67