go back

Pennsylvania 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
$8.61 / $11.31 / $739.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.13 / $10.78 / $16.55
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.40 / $17.60 / $17.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.44 / $12.44 / $24.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.57 / $10.57 / $16.09
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.39 / $18.91 / $35.93
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.61 / $13.69 / $739.20
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.66 / $10.78 / $17.88
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.10 / $24.00 / $34.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.44 / $12.44 / $24.25
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.57 / $10.57 / $24.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $16.75 / $16.75
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $16.75 / $19.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.09 / $8.77 / $15.71