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Virginia rates for HCPCS A4911

Drain bag/bottle, for dialysis, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $5.00 / $7.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.03 / $21.03 / $21.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.00 / $11.00 / $13.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $10.00 / $16.50
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $4,071.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $4,071.00