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Alaska rates for HCPCS A4311

Insertion tray without drainage bag with indwelling catheter, Foley type, two-way latex with coating (Teflon, silicone, silicone elastomer or hydrophilic, etc.)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.47 / $24.47 / $24.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.44 / $12.44 / $12.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.57 / $12.44 / $12.81
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.67 / $5.67 / $5.67
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.72 / $24.42 / $38.57
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.12 / $18.12 / $25.11
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.12 / $25.11 / $51.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.67 / $5.67 / $18.12
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.44 / $20.42 / $31.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.83 / $24.59 / $44.90