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Rhode Island 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
$3.82 / $4.76 / $7.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.30 / $22.01 / $26.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.15 / $6.06 / $10.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.40 / $8.00 / $8.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.40 / $6.93 / $8.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.43 / $6.58 / $9.59