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Massachusetts 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
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $7.08 / $26.30
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $11.75 / $79.43
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $9.33 / $16.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $8.71 / $26.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.59 / $7.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.37 / $7.94 / $8.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $6.92 / $8.32
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $15.49
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $6.92 / $6.92
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $11.75 / $79.43
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $9.33 / $17.78
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.41 / $7.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $5.25 / $7.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $7.08 / $11.22