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Michigan rates for HCPCS A4312

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.19 / $19.19 / $19.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.13 / $19.19 / $19.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.14 / $75.98 / $138.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.94 / $25.20 / $34.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.05 / $16.05 / $16.38
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.16 / $20.16 / $20.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.09 / $15.15 / $15.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.95 / $15.15 / $20.96
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.21 / $18.21 / $19.19
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $19.19 / $28.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.56 / $11.95 / $16.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.36 / $11.83 / $18.04