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Texas 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
$5.76 / $7.58 / $12.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.84 / $7.58 / $11.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $6.92 / $8.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.36 / $12.95 / $32.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.49 / $6.16 / $6.16
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.65 / $9.00 / $30.29
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.07 / $9.22 / $16.14
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.53 / $12.00 / $12.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.33 / $8.15 / $8.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.93 / $6.93 / $8.39
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.58 / $67.58 / $101.78
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.71 / $8.65 / $11.62
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.06 / $11.07 / $13.57
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.80 / $8.80 / $8.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.71 / $8.25 / $11.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.93 / $6.93 / $11.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.80 / $6.25 / $8.25
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.52 / $6.52 / $11.53