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California 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
Facility
Modifier
Low / Median / High Price
$3.63 / $3.98 / $39.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.70 / $6.11 / $39.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.69 / $5.65 / $14.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.52 / $6.52 / $12.62
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.28 / $18.55 / $28.66
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.33 / $29.11 / $51.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.33 / $8.15 / $12.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.93 / $6.93 / $8.78
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.86 / $13.57 / $16.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.14 / $9.50 / $21.03
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.58 / $67.58 / $101.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.71 / $11.98 / $13.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.93 / $8.15 / $12.38
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.60 / $25.60 / $25.60
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.86 / $11.34 / $14.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.16 / $5.75 / $13.33