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Maine rates for HCPCS A4354

Insertion Tray With Drainage Bag But Without Catheter (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.21 / $9.46 / $11.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.43 / $7.43 / $8.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.42 / $8.42 / $8.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.44 / $13.44 / $13.44
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.36 / $9.46 / $9.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.44 / $8.23 / $22.84