go back

Ohio 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
$12.88 / $17.38 / $18.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $12.02 / $16.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $11.22 / $26.92
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.23 / $15.49 / $25.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $18.62 / $28.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $12.30 / $12.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $10.47 / $10.47
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $12.30 / $28.18
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $10.47 / $10.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $7.76 / $11.22
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $23.44 / $43.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $8.71 / $13.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $9.55 / $13.18