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Michigan rates for HCPCS A4354

Insertion tray with drainage bag but without catheter

Facilitymedian $27 · 10th–90th $10–$660%20%10th90th$27Professionalmedian $10 · 10th–90th $7–$140%20%10th90th$10$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $10.00 / $14.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $42.66 / $81.28
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $14.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $11.75
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $11.75 / $30.20
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $11.48 / $17.38
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $8.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $10.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $6.76 / $10.23