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Minnesota 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
$13.20 / $13.20 / $13.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.78 / $13.20 / $15.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $22.09 / $29.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.55 / $20.07 / $20.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.44 / $64.14 / $178.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.00 / $25.44 / $30.48
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.08 / $61.54 / $140.28
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.00 / $24.00 / $24.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.84 / $20.70 / $92.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.85 / $9.75 / $24.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.85 / $9.82 / $20.78