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Indiana 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
$11.75 / $11.75 / $11.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $7.94 / $10.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.46 / $6.46 / $12.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $6.46 / $11.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $14.79 / $19.05
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $16.22 / $17.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.37 / $8.13 / $10.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $6.92 / $11.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $5.62 / $8.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $6.46 / $9.77