go back

Minnesota 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
$16.07 / $16.07 / $16.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.36 / $16.07 / $16.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $26.90 / $35.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.16 / $24.44 / $25.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.15 / $77.59 / $215.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.25 / $31.01 / $37.15
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.07 / $74.45 / $169.69
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.25 / $29.25 / $30.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.11 / $25.20 / $113.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.13 / $11.18 / $27.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.13 / $10.69 / $25.31