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Oklahoma rates for HCPCS A4354

Insertion tray with drainage bag but without catheter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $9.55 / $14.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $13.80 / $13.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $13.80 / $13.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $8.51 / $13.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $12.02 / $34.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $7.94 / $20.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $7.08 / $10.00