go back

California rates for HCPCS A4312

Insertion Tray Without Drainage Bag With Indwelling Catheter Foley Type Two-Way All Silicone (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.75 / $7.40 / $72.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.40 / $11.36 / $72.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.72 / $9.30 / $24.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.73 / $10.73 / $23.44
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.54 / $34.47 / $53.27
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.62 / $54.10 / $94.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.63 / $15.15 / $27.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $16.34
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.16 / $25.20 / $30.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.12 / $17.64 / $39.06
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $119.70 / $119.70
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.78 / $147.24 / $160.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.90 / $22.28 / $26.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $15.15 / $20.99
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.57 / $47.57 / $47.57
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.16 / $21.08 / $27.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.66 / $10.69 / $24.39