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Texas 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
$8.97 / $11.65 / $13.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.61 / $11.81 / $17.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.49 / $19.88 / $50.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.56 / $8.56 / $9.60
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.78 / $15.27 / $17.97
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.97 / $17.97 / $17.97
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 / $12.44
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.20 / $98.33 / $98.33
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.00 / $115.70 / $141.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.67 / $13.51 / $18.34
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $15.27 / $17.97
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.67 / $12.88 / $18.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.57 / $10.57 / $16.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.32 / $9.56 / $12.61
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.35 / $9.35 / $17.97