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Oklahoma 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.) (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.32 / $12.32 / $14.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.14 / $12.14 / $12.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.12 / $18.12 / $18.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.35 / $18.12 / $18.12
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 / $11.27 / $16.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.67 / $12.94 / $92.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.85 / $9.93 / $20.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.85 / $9.27 / $12.61