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Alaska rates for HCPCS A4357

Bedside drainage bag, day or night, with or without antireflux device, with or without tube, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.44 / $13.44 / $13.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.15 / $8.15 / $8.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.93 / $8.15 / $8.39
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.71 / $3.71 / $3.71
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.89 / $13.41 / $21.18
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.88 / $11.88 / $13.79
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.18 / $13.79 / $28.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.71 / $3.71 / $11.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $11.38 / $17.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.04 / $13.50 / $24.65