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Ohio rates for HCPCS A4354

Insertion tray with drainage bag but without catheter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $10.47 / $26.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.10 / $10.47 / $13.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.43 / $8.91 / $21.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.50 / $19.80 / $24.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $21.45 / $35.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.42 / $8.42 / $8.42
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.32 / $19.32 / $19.32
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.42 / $8.42 / $8.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.40 / $9.25 / $10.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.48 / $7.97 / $10.47