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Pennsylvania rates for HCPCS A4354

Insertion tray with drainage bag but without catheter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.01 / $8.01 / $12.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.32 / $10.02 / $12.73
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.00 / $57,255.43 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.32 / $16.32 / $16.32
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
Professional
Modifier
Low / Median / High Price
$14.73 / $19.00 / $21.39
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.01 / $8.01 / $12.73
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.10 / $10.02 / $13.66
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.80 / $20.30 / $32.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.32 / $19.32 / $19.32
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.42 / $8.42 / $8.42
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.31 / $15.55 / $15.55
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.31 / $15.55 / $15.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.38 / $8.21 / $16.97