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Hawaii rates for HCPCS A4312

Insertion tray without drainage bag with indwelling catheter, Foley type, two-way, all silicone

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $10.47 / $10.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.79 / $27.79 / $27.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.82 / $17.82 / $38.50
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $36.65 / $36.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.00 / $35.00 / $49.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $27.79 / $38.50
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.89 / $29.15 / $33.31