go back

Michigan 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
$5.48 / $6.24 / $6.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.18 / $6.24 / $6.24
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $8.19 / $8.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.39 / $24.92 / $44.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.78 / $8.19 / $11.06
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.12 / $5.12 / $6.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.30 / $6.30 / $6.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $5.57 / $6.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $5.57 / $6.88
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.48 / $5.93 / $6.24
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $6.24 / $8.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.85 / $4.82 / $6.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.08 / $3.93 / $5.88