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Washington rates for HCPCS A4354

Insertion tray with drainage bag but without catheter

Facilitymedian $17 · 10th–90th $11–$320%10%10th90th$17Professionalmedian $10 · 10th–90th $7–$220%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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $18.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $10.00 / $16.22
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $15.85
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $8.51 / $8.51
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $23.44 / $37.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $23.99 / $35.48
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $11.75 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.22 / $13.80 / $14.13
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $16.22
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $21.88 / $26.92
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $11.75 / $13.49
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $12.02 / $15.85
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $5.37 / $13.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $6.92 / $13.49
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $21.38