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West Virginia 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 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $5.01 / $6.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.13 / $5.13 / $10.72
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $5.50 / $9.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $14.13 / $14.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $4.68 / $42.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.55 / $4.27 / $6.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $5.25 / $7.94