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Minnesota 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
$7.94 / $7.94 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $7.94 / $12.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $15.85 / $23.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $13.49 / $13.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $50.12 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $17.78 / $19.95
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $50.12 / $95.50
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $15.85 / $16.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $13.49 / $27.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $6.46 / $14.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.37 / $5.25 / $7.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $6.46 / $16.60