go back

Iowa 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
$5.83 / $5.83 / $6.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.72 / $5.83 / $7.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $5.57 / $8.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.57 / $9.00 / $13.13
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.43 / $8.69 / $12.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.39 / $10.13 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.76 / $4.62 / $11.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.67 / $10.13 / $12.22
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.98 / $10.33 / $16.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.76 / $4.18 / $7.70
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.09 / $7.09 / $7.09
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.60 / $7.09 / $7.09