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Utah 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
$5.67 / $5.67 / $5.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.67 / $11.65 / $59.72
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 / $12.44 / $24.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.39 / $15.16 / $20.39
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.52 / $14.49 / $21.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.87 / $8.77 / $10.31