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Pennsylvania 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
$4.54 / $7.21 / $217.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $5.68 / $22.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.06 / $9.27 / $9.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.57 / $5.57 / $10.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.73 / $4.73 / $6.88
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.06 / $8.76 / $16.64
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.54 / $7.21 / $217.70
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.58 / $5.38 / $21.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.30 / $6.90 / $18.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.57 / $5.57 / $10.17
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.73 / $4.73 / $10.50
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.98 / $8.82 / $8.82
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.98 / $8.82 / $8.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $4.63 / $8.35