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Oregon rates for HCPCS A4354

Insertion Tray With Drainage Bag But Without Catheter (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $10.28 / $47.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.42 / $8.42 / $8.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.63 / $33.14 / $38.89
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.28 / $13.16 / $28.05
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.52 / $13.33 / $14.73
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.13 / $13.69 / $15.43
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.93 / $14.03 / $15.43
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.28 / $13.35 / $28.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.42 / $12.27 / $14.99
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.66 / $15.43 / $15.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.47 / $6.99 / $13.35