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North Carolina 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
Facility
Modifier
Low / Median / High Price
$18.12 / $18.12 / $22.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.62 / $18.12 / $18.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.87 / $27.53 / $37.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.41 / $15.53 / $16.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.94 / $12.44 / $12.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.57 / $12.44 / $24.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.67 / $17.97 / $23.74
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.00 / $13.79
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.10 / $21.10 / $32.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.88 / $10.24 / $16.22
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $98.33 / $98.33
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.70 / $115.70 / $141.83