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Missouri rates for HCPCS A4354

Insertion tray with drainage bag but without catheter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $15.85 / $15.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $10.00 / $16.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $8.13 / $15.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $16.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $8.51 / $8.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $16.60 / $44.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $8.32 / $109.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $10.72 / $16.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $7.76 / $12.59