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Missouri 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
$3.02 / $7.08 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $5.13 / $21.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $6.61 / $9.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $4.07 / $7.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $4.90 / $8.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $5.62 / $5.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $4.68 / $5.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $7.24 / $79.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $4.27 / $45.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.09 / $4.27 / $6.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.98 / $6.03