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Virginia 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
$5.72 / $5.72 / $6.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $5.72 / $6.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $5.32
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.27 / $5.27 / $6.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $5.57 / $5.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $4.73 / $6.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.95 / $9.27 / $11.12
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $6.10 / $10.67
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $12.17 / $15.44
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.10 / $7.25 / $12.67
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.10 / $7.25 / $12.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.66 / $4.62 / $6.96