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Pennsylvania 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
$6.30 / $10.01 / $119.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $7.88 / $32.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $12.85 / $12.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.15 / $8.15 / $14.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.93 / $6.93 / $10.07
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.38 / $12.48 / $18.37
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.40 / $8.40 / $8.40
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.00 / $9.00 / $9.64
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.30 / $43.85 / $16,876.61
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.82 / $7.87 / $30.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.80 / $9.50 / $25.30
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.15 / $8.15 / $14.89
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.93 / $6.93 / $15.75
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.18 / $12.23 / $12.23
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.18 / $12.23 / $12.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.33 / $6.41 / $11.22