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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
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $5.01 / $20.89
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.76 / $9.55 / $79.43
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $7.08 / $13.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $6.03 / $18.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $6.03 / $6.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $5.01 / $5.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $4.68 / $6.31
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.13 / $12.30
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $4.47
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.76 / $9.55 / $79.43
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $7.24 / $14.13
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $5.89 / $6.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $4.27 / $5.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $5.25 / $8.71