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West Virginia rates for HCPCS A4354

Insertion tray with drainage bag but without catheter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.10 / $9.10 / $9.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.66 / $10.02 / $11.04
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.14 / $24.75 / $28.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.73 / $19.80 / $38.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.32 / $19.32 / $19.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.42 / $8.42 / $78.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.67 / $9.22 / $17.94