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Montana 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
Professional
Modifier
Low / Median / High Price
$7.95 / $22.00 / $88.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.67 / $8.67 / $8.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.57 / $9.32 / $9.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.74 / $9.32 / $9.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.51 / $8.88 / $9.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.36 / $6.99 / $9.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $3.93 / $4.50