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Maine rates for HCPCS A4354

Insertion tray with drainage bag but without catheter

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $10.00 / $14.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.41 / $8.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $8.51 / $12.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $14.45
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $10.00 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $8.32 / $14.45