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Montana 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
$11.64 / $32.00 / $66.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.26 / $11.26 / $11.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.15 / $12.11 / $12.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.39 / $12.11 / $12.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.60 / $11.53 / $12.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.66 / $9.31 / $12.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.20 / $5.75 / $6.58