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Hawaii 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
$5.78 / $5.78 / $32.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.81 / $21.81 / $21.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.09 / $16.09 / $30.20
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.45 / $28.74 / $28.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.47 / $27.45 / $38.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.61 / $21.81 / $30.20
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.76 / $22.87 / $26.13