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Idaho 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
Professional
Modifier
Low / Median / High Price
$2.58 / $10.68 / $10.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.57 / $5.57 / $5.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.73 / $4.73 / $6.36
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $7.88 / $10.68
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.34 / $7.75 / $7.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.67 / $7.88 / $13.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.52 / $5.75 / $8.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.60 / $3.74 / $5.92