go back

Washington 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
$7.68 / $17.43 / $18.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $8.65 / $39.14
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.82 / $9.50 / $13.57
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.88 / $80.00 / $80.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.00 / $11.88 / $67.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.40 / $8.15 / $8.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.93 / $6.93 / $9.31
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.03 / $14.34 / $24.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.03 / $15.27 / $24.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.35 / $10.39 / $11.42
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.76 / $11.53 / $13.57
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $12.21 / $13.57
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.26 / $11.88 / $21.97
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.26 / $12.85 / $19.48
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.77 / $11.53 / $14.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.76 / $10.97
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.52 / $8.33 / $8.33