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Texas rates for HCPCS A4354

Insertion tray with drainage bag but without catheter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.23 / $10.83 / $13.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.90 / $10.83 / $14.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.34 / $18.51 / $45.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $7.85 / $7.85
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.94 / $11.94 / $11.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.90 / $9.90 / $19.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.42 / $8.42 / $8.42
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.01 / $80.00 / $85.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.94 / $112.59 / $112.59
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.83 / $12.91 / $20.57
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.63 / $14.03 / $16.50
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.70 / $20.30 / $32.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.83 / $12.98 / $21.06
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.42 / $8.42 / $12.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.83 / $7.61 / $10.02
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.43 / $16.50 / $22.28