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Maine 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
Professional
Modifier
Low / Median / High Price
$5.01 / $7.94 / $22.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $6.46 / $9.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $8.13 / $10.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $6.92 / $9.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $12.02
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $7.94 / $22.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.68 / $5.25 / $5.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $6.76 / $12.02