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Ohio 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
$5.88 / $5.88 / $15.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.99 / $5.88 / $7.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $6.38 / $7.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $12.05
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.27 / $9.27 / $9.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $9.27 / $12.51
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.52 / $9.27 / $19.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $5.57 / $10.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.73 / $4.73 / $6.88
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $5.57 / $5.79
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.63 / $5.57 / $6.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $7.22 / $9.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.96 / $4.34 / $5.92