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Minnesota rates for HCPCS A4358

Urinary Drainage Bag Leg Or Abdomen Vinyl With Or Without Tube With Straps Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.83 / $5.83 / $5.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.58 / $5.83 / $6.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $9.74 / $12.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.31 / $8.86 / $9.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.57 / $27.93 / $77.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.50 / $11.13 / $13.34
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.57 / $26.80 / $61.09
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.50 / $10.50 / $10.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.62 / $9.14 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $4.59 / $13.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $6.16 / $14.43