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Connecticut 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
$13.79 / $13.79 / $13.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.32 / $13.79 / $16.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.73 / $10.73 / $10.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.09 / $15.15 / $15.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $15.15
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.92 / $13.92 / $13.92
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.92 / $13.92 / $19.71
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.46 / $7.46 / $7.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.23 / $10.69 / $18.75