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Indiana 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
$21.59 / $21.59 / $25.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.90 / $16.00 / $21.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.73 / $10.73 / $20.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.73 / $10.73 / $14.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.21 / $27.72 / $37.07
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.42 / $27.72 / $34.02
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 / $15.15 / $25.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.13 / $12.01 / $16.95