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Pennsylvania rates for HCPCS A4357

Bedside drainage bag, day or night, with or without antireflux device, with or without tube, each

Facilitymedian $44 · 10th–90th $6–$16,9820%10%10th90th$44Professionalmedian $7 · 10th–90th $5–$260%20%10th90th$7$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $43.65 / $16,982.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $7.08 / $30.20
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $13.49 / $13.80
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $66.07 / $104.71
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $8.32 / $8.32
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $12.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $12.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $6.92 / $8.13
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $15.14 / $26.30
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $13.18
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $7.94 / $13.18
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $8.71
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $8.71
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $61.66 / $93.33
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $8.32
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $43.65 / $120.23
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $7.08 / $12.02
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $19.95
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $9.12 / $12.30
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $9.77 / $17.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.57 / $6.17 / $8.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $6.46 / $13.80