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Virginia 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
$10.88 / $10.88 / $11.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.88 / $10.88 / $13.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.35 / $9.35 / $12.44
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.01 / $10.01 / $12.03
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 / $12.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.20 / $17.60 / $21.12
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.67 / $11.72 / $20.99
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $23.12 / $29.31
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.60 / $13.93 / $24.05
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.60 / $13.93 / $24.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.88 / $8.77 / $14.63