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Utah rates for HCPCS A4354

Insertion tray with drainage bag but without catheter

Facilitymedian $4 · 10th–90th $4–$40%50%100%$4Professionalmedian $10 · 10th–90th $4–$210%10%20%10th90th$10$5.0$10.0$20.0$50.0

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $10.00 / $20.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $8.51 / $8.51
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $12.59 / $30.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $10.00 / $10.96
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $14.13 / $15.85
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $14.45 / $19.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $6.92 / $10.47