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Texas 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
$3.47 / $5.09 / $14.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.99 / $5.17 / $7.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.73 / $5.22 / $5.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.03 / $8.32 / $21.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $3.75 / $4.20
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.52 / $6.70 / $11.03
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.88 / $8.69 / $8.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $5.57 / $5.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.73 / $4.73 / $5.74
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.16 / $46.16 / $65.70
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $5.91 / $8.23
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.82 / $7.25 / $8.16
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.30 / $6.30 / $6.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $5.64 / $7.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.73 / $4.73 / $7.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.28 / $4.26 / $5.64
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $7.88