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Montana rates for HCPCS A4312

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

Facilitymedian $23 · 10th–90th $15–$680%20%40%10th90th$23Professionalmedian $18 · 10th–90th $9–$330%20%10th90th$18$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $15.14 / $28.84
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $69,183.10 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $24.55 / $24.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $24.55 / $24.55
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $22.91 / $44.67
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $22.91 / $44.67
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $21.38 / $29.51
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $24.55 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $9.77 / $12.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $10.72 / $14.45