go back

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.)

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