go back

West 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
$5.11 / $5.11 / $5.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.11 / $5.68 / $6.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $11.59 / $16.22
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.52 / $6.49 / $9.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $5.57 / $10.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $5.57 / $42.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.38 / $4.63 / $7.70