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North Dakota rates for HCPCS A4354

Insertion tray with drainage bag but without catheter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.19 / $10.19 / $10.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.49 / $10.19 / $10.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.83 / $15.51 / $17.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.78 / $28.78 / $33.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.13 / $19.32 / $23.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.19 / $14.03 / $29.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.59 / $6.99 / $14.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.66 / $6.86 / $13.34