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Rhode Island rates for HCPCS A4354

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.81 / $6.81 / $6.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.81 / $7.21 / $10.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.32 / $33.04 / $37.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.37 / $8.67 / $14.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.42 / $8.42 / $8.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.28 / $8.23 / $13.71