go back

Hawaii 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
$2.58 / $2.58 / $16.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.82 / $7.82 / $7.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.36 / $6.36 / $10.82
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.84 / $10.30 / $10.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.89 / $9.84 / $13.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.61 / $7.82 / $10.82
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.71 / $8.19 / $9.36