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Hawaii 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
$6.27 / $6.27 / $6.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.00 / $12.00 / $12.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.31 / $9.31 / $16.60
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.09 / $15.80 / $15.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.56 / $15.09 / $21.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $12.00 / $16.60
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.31 / $12.58 / $14.37