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Connecticut rates for HCPCS A4358

Urinary Drainage Bag Leg Or Abdomen Vinyl With Or Without Tube With Straps Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.96 / $5.96 / $5.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.81 / $5.17 / $5.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $5.57 / $5.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.73 / $4.73 / $5.57
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $6.03 / $6.03
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.69 / $6.03 / $8.06
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.49 / $4.49 / $4.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.53 / $4.62 / $7.70