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Minnesota rates for HCPCS A4354

Insertion tray with drainage bag but without catheter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $10.00 / $14.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $18.20 / $28.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $16.60 / $16.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $53.70 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $20.89 / $24.55
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $54.95 / $114.82
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $20.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.22 / $16.60 / $23.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $6.92 / $16.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $6.92 / $18.62