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New York 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
$8.23 / $8.61 / $17.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.23 / $8.61 / $17.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.35 / $9.35 / $27.58
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.66 / $15.76 / $15.76
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.76 / $15.76 / $15.76
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 / $10.57 / $16.09
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.91 / $42.55 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $14.39 / $34.61
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.00 / $6.00 / $6.00
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $10.93 / $13.56
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.94 / $12.44 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.57 / $12.44 / $28.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.29 / $10.22 / $17.34
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.93 / $10.93 / $13.53
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $10.93 / $11.62