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Vermont 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
$2.61 / $6.26 / $6.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.50 / $7.50 / $7.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $5.57 / $5.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.73 / $5.74
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $5.57 / $5.57
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $5.29 / $5.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.08 / $5.64 / $10.71