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Montana 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
Professional
Modifier
Low / Median / High Price
$17.76 / $59.72 / $59.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.21 / $20.21 / $20.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.44 / $21.74 / $21.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.81 / $21.74 / $21.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.09 / $20.70 / $21.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.35 / $16.30 / $21.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $8.77 / $10.33