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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.)

Facilitymedian $20 · 10th–90th $13–$600%20%10th90th$20Professionalmedian $16 · 10th–90th $7–$250%10%20%10th90th$16$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $12.02 / $22.91
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $69,183.10 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $20.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $21.88 / $21.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $21.88 / $21.88
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $20.42 / $39.81
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $20.42 / $39.81
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $18.62 / $25.12
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $21.88 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $7.94 / $10.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $8.71 / $11.75