go back

Alaska rates for HCPCS A4358

Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.76 / $8.76 / $8.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.57 / $5.57 / $5.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.73 / $5.57 / $5.74
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.75 / $8.75 / $24.41
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.90 / $7.90 / $8.99
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $8.99 / $18.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $2.54 / $7.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.57 / $7.65 / $11.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.59 / $8.80 / $16.07