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West Virginia rates for HCPCS A4357

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $7.94 / $10.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $16.98 / $22.39
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $17.38 / $31.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.37 / $20.89 / $20.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $6.92 / $63.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $6.17 / $8.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $7.24 / $10.96