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Maryland 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
$6.06 / $8.26 / $52.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.05 / $5.75 / $8.60
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.27 / $5.27 / $6.34
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 / $4.73 / $6.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.49 / $9.27 / $13.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.38 / $4.62 / $7.32
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $6.49