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North Carolina rates for HCPCS A4354

Insertion tray with drainage bag but without catheter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.44 / $14.44 / $17.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.01 / $14.44 / $14.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.03 / $21.95 / $30.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.49 / $12.38 / $13.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.42 / $8.42 / $8.42
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.99 / $14.44 / $24.24
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.00 / $12.39 / $24.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.70 / $20.39 / $32.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.28 / $8.23 / $15.70
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.79 / $80.00 / $85.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.59 / $112.59 / $112.59