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Insertion Tray without Drainage Bag, Silicone Foley Catheter

Montana rates for HCPCS A4312

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

Rates data updated October 2026.

How much does Insertion Tray without Drainage Bag, Silicone Foley Catheter cost?

$24.55

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $24.55 for this service. The price depends on where it is billed: about $24.55 from a physician practice, and about $24.55 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$24.55$18.20 to $26.30
FacilityA hospital or hospital-owned outpatient department$24.55$23.99 to $1,349

How much rates vary

Facilitymedian $25 · 10th to 90th $18 to $1,380Professionalmedian $25 · 10th to 90th $11 to $79
$10$20$50$100$200$500$1Kfacility $25professional $25

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$6.92
Median
$19.95
Typical High
$28.84
BCBS Montana
Setting
Facility
Modifier
None
Typical Low
$31.62
Median
$31.62
Typical High
$31.62
Cigna
Setting
Facility
Modifier
None
Typical Low
$21.38
Median
$24.55
Typical High
$24.55
Cigna
Setting
Professional
Modifier
None
Typical Low
$19.95
Median
$24.55
Typical High
$24.55
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$17.78
Median
$29.51
Typical High
$1,380.38
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$23.99
Median
$26.30
Typical High
$1,445.44
Providence
Setting
Facility
Modifier
None
Typical Low
$14.13
Median
$24.55
Typical High
$24.55
Providence
Setting
Professional
Modifier
None
Typical Low
$18.20
Median
$24.55
Typical High
$79.43
United
Setting
Professional
Modifier
None
Typical Low
$9.77
Median
$10.72
Typical High
$17.78

Where Montana sits

The same service costs 3.5 times more in Hawaii than in Connecticut. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Montana· 4th of 51

$24.55

HI $37.15CT $10.72

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.