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Illinois 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
Facility
Modifier
Low / Median / High Price
$11.62 / $11.62 / $11.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.35 / $11.62 / $18.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.44 / $52.29 / $181.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.90 / $15.53 / $15.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.94 / $12.44 / $19.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.57 / $10.57 / $24.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.42 / $24.84 / $32.15
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.91 / $26.91 / $26.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.88 / $28.15 / $31.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.32 / $10.33 / $18.29