go back

Wyoming rates for HCPCS A4354

Insertion Tray With Drainage Bag But Without Catheter (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $11.99 / $14.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.69 / $13.69 / $13.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.69 / $13.69 / $13.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.42 / $8.42 / $13.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.32 / $6.99 / $6.99