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Connecticut rates for HCPCS A4357

Bedside Drainage Bag Day Or Night With Or Without Anti-Reflux Device With Or Without Tube Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.40 / $8.40 / $8.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.90 / $7.58 / $8.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.52 / $6.52 / $6.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.40 / $8.15 / $8.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.93 / $6.93 / $8.15
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.65 / $8.48 / $8.48
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.01 / $8.77 / $12.48
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.99 / $6.99 / $6.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.96 / $6.51 / $11.41