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Illinois 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
$7.62 / $7.62 / $23.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.15 / $7.62 / $13.56
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.50 / $8.61 / $8.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.70 / $29.13 / $118.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.96 / $10.18 / $10.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.40 / $8.15 / $14.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.93 / $6.93 / $15.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.76 / $14.93 / $27.54
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.64 / $17.64 / $17.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.45 / $18.46 / $20.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.80 / $6.77 / $11.28