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Oregon rates for HCPCS A4354

Insertion tray with drainage bag but without catheter

Facilitymedian $14 · 10th–90th $11–$140%20%10th90th$14Professionalmedian $10 · 10th–90th $6–$160%10%20%10th90th$10$5.0$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $9.12 / $14.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $8.51 / $8.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $30.20 / $151.36
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $11.22 / $17.78
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $11.22 / $14.79
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.22 / $13.80 / $14.13
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $14.13 / $15.49
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $13.49 / $21.38
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $13.49 / $79.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $15.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $6.92 / $11.75