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Virginia rates for HCPCS A4354

Insertion tray with drainage bag but without catheter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $10.96 / $10.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $10.00 / $14.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.41 / $12.88
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $9.33 / $9.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $8.51 / $8.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $16.98 / $26.92
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $11.75 / $17.78
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $13.18 / $22.39
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $9.33 / $10.72
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $12.88 / $64.57
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $12.88 / $64.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $8.13 / $12.30