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West Virginia rates for HCPCS A5102

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.27 / $17.27 / $17.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.27 / $19.19 / $21.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.49 / $39.11 / $54.76
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.34 / $22.07 / $37.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.95 / $18.95 / $36.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.11 / $18.95 / $151.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.51 / $15.62 / $26.22