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New York rates for HCPCS A4354

Insertion tray with drainage bag but without catheter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.25 / $7.99 / $30.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.10 / $9.69 / $13.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.43 / $7.43 / $22.66
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.86 / $11.68 / $11.68
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.68 / $11.68 / $11.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.32 / $19.32 / $19.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.42 / $8.42 / $8.42
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.03 / $25.67 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.03 / $20.34 / $30.45
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.65 / $7.65 / $8.10
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.65 / $8.10 / $8.61
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.32 / $19.32 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.42 / $8.42 / $24.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.66 / $8.15 / $15.25
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.10 / $8.10 / $10.02
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.65 / $8.10 / $8.61