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North Dakota 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
$15.06 / $15.06 / $15.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.78 / $13.20 / $15.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.35 / $22.88 / $23.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.00 / $24.24 / $30.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.09 / $15.06 / $92.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.25 / $10.24 / $16.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.85 / $9.75 / $16.50