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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.) (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $13.05 / $13.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.94 / $12.44 / $12.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.94 / $10.57 / $12.81
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.94 / $12.44 / $12.44
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.94 / $12.01 / $12.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.43 / $11.75 / $22.32