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Hawaii rates for HCPCS A5102

Bedside drainage bottle with or without tubing, rigid or expandable, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $15.49 / $25.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $19.05 / $26.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $30.20 / $42.66
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $34.67 / $36.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $34.67 / $39.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.23 / $12.02 / $15.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $23.99 / $37.15