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Massachusetts rates for HCPCS A4354

Insertion tray with drainage bag but without catheter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.21 / $7.21 / $7.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.81 / $7.99 / $10.61
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.64 / $25.00 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.06 / $16.11 / $112.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.62 / $10.62 / $31.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.40 / $10.78 / $10.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.42 / $8.42 / $10.40
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.09 / $11.09 / $11.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.44 / $13.44 / $13.44
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.79 / $80.00 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.99 / $9.44 / $112.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.44 / $9.44 / $23.36