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Minnesota 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
$8.65 / $8.65 / $8.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.82 / $8.65 / $10.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $14.48 / $19.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.86 / $13.16 / $13.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.15 / $41.38 / $114.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.75 / $16.70 / $20.00
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.57 / $39.70 / $90.50
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.75 / $15.75 / $16.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.82 / $13.57 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.38 / $6.77 / $14.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.84 / $5.75 / $13.62