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Kansas 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
$10.01 / $10.01 / $21.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.71 / $7.23 / $14.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.82 / $14.82 / $14.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.15 / $8.15 / $10.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.93 / $8.15 / $19.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.71 / $11.52 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.84 / $6.77 / $17.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.84 / $6.46 / $9.11