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West 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
$11.42 / $11.42 / $11.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.78 / $11.42 / $12.51
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.46 / $27.95 / $36.22
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.46 / $14.49 / $24.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.94 / $12.44 / $24.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.94 / $12.44 / $94.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.57 / $10.33 / $14.63