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Massachusetts 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
$5.03 / $5.03 / $5.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.82 / $5.03 / $9.86
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.75 / $25.28 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.16 / $8.02 / $11.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.74 / $8.74 / $25.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.55 / $7.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.40 / $8.00 / $8.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.40 / $6.93 / $15.75
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.40 / $9.40 / $9.86
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.99 / $6.99 / $6.99
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.55 / $80.00 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.43 / $6.58 / $15.70
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.36 / $7.36 / $7.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.43 / $6.60 / $12.85