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California 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
Facility
Modifier
Low / Median / High Price
$5.56 / $6.09 / $59.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.78 / $8.23 / $57.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.72 / $8.10 / $21.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.35 / $9.35 / $19.25
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.82 / $28.36 / $43.81
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.19 / $44.41 / $77.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.39 / $12.44 / $21.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.57 / $10.57 / $13.45
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.55 / $20.70 / $24.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.42 / $14.49 / $32.09
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $98.33 / $98.33
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.00 / $115.70 / $141.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.67 / $18.32 / $21.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.57 / $12.44 / $17.60
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.06 / $39.06 / $39.06
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.55 / $17.34 / $22.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.88 / $8.77 / $20.03