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Oregon 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
Professional
Modifier
Low / Median / High Price
$3.98 / $9.94 / $66.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.15 / $8.15 / $8.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.93 / $6.93 / $9.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.14 / $24.14 / $29.52
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.69 / $11.89 / $14.11
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.98 / $12.21 / $14.25
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.76 / $11.67 / $13.57
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $11.85 / $13.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.15 / $11.64 / $13.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.93 / $11.88 / $14.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.67 / $14.93 / $14.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.41 / $5.75 / $10.97