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Vermont 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
Professional
Modifier
Low / Median / High Price
$6.03 / $12.02 / $15.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $12.30 / $12.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $10.47 / $12.88
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $18.62 / $20.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $9.33 / $10.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $14.45 / $40.74