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Massachusetts 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
$4.05 / $4.05 / $4.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $4.05 / $6.55
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.42 / $19.16 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.62 / $6.23 / $9.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.98 / $5.98 / $17.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.85 / $6.06 / $6.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.30 / $5.00 / $5.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.73 / $10.50
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.54 / $7.54 / $7.92
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.49 / $4.49 / $4.49
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.82 / $80.00 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.08 / $4.62 / $12.61
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.92 / $5.92 / $6.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.62 / $6.63 / $9.27