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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
$10.00 / $10.00 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $10.00 / $12.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $15.49 / $17.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $28.84 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.50 / $23.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.23 / $14.79 / $28.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $6.61 / $29.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $6.61 / $17.38