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Illinois 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
$5.20 / $5.29 / $10.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.84 / $5.20 / $8.11
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.12 / $5.37 / $6.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.13 / $23.40 / $81.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.75 / $6.95 / $6.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $5.57 / $10.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.73 / $4.73 / $10.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.88 / $10.19 / $18.71
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.05 / $12.05 / $12.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.41 / $12.61 / $13.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.28 / $4.62 / $8.94