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Massachusetts 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
$8.52 / $8.52 / $8.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.35 / $8.52 / $14.74
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.95 / $41.41 / $98.33
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.88 / $13.13 / $19.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $12.59 / $37.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.32 / $12.78 / $12.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.15 / $11.00 / $12.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.94 / $10.57 / $24.00
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.92 / $15.92 / $16.72
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.46 / $7.46 / $7.46
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.02 / $98.33 / $98.33
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.77 / $9.74 / $26.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.77 / $10.13 / $18.39