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Wisconsin 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
$5.01 / $5.01 / $14.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $5.01 / $10.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $9.55 / $15.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.71 / $10.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.62 / $28.18 / $45.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $13.18 / $17.78
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $7.59 / $13.49
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $15.14 / $19.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $9.33 / $79.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $4.90 / $11.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $54.95 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $14.13 / $23.99
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.62 / $18.62 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $9.55 / $45.71
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $9.55 / $9.55
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $9.55 / $9.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $4.17 / $5.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $4.57 / $7.76