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Maine 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 / $11.20 / $11.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.35 / $9.35 / $9.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.00 / $12.44 / $14.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.57 / $10.57 / $16.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.92 / $15.92 / $15.92
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.78 / $11.20 / $11.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.49 / $9.74 / $22.40