go back

Indiana 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
$17.73 / $17.73 / $20.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.42 / $13.14 / $17.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.35 / $9.35 / $18.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.35 / $9.35 / $12.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.53 / $22.77 / $31.05
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.60 / $22.77 / $27.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.94 / $12.44 / $12.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.57 / $12.44 / $19.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.85 / $9.90 / $13.71