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Indiana rates for HCPCS A4358

Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.75 / $6.75 / $7.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $5.20 / $6.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.00 / $7.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $5.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.70 / $8.67 / $11.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.70 / $9.06 / $11.03
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 / $5.57 / $8.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.62 / $3.93 / $5.92