go back

Louisiana 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
$11.87 / $14.63 / $14.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.65 / $14.63 / $16.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.02 / $30.78 / $43.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.80 / $12.83 / $12.83
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.94 / $12.44 / $12.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.94 / $10.57 / $16.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.85 / $9.65 / $14.63