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Idaho 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.) (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.78 / $23.87 / $23.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.44 / $12.44 / $13.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.57 / $10.57 / $16.09
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.67 / $13.23 / $23.87
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.84 / $16.72 / $17.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.67 / $17.60 / $30.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.32 / $12.85 / $18.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.05 / $8.77 / $13.65