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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 July 2026.

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

$21.88

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $21.88 for this service. The price depends on where it is billed: about $20.89 from a physician practice, and about $22.91 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$20.89$11.75 to $22.91
FacilityA hospital or hospital-owned outpatient department$22.91$19.05 to $28.18

How much rates vary

Facilitymedian $23 · 10th to 90th $15 to $68Professionalmedian $21 · 10th to 90th $7 to $79
$10$100$1K$10K$100Kfacility $23professional $21

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$17.38
Typical High
$109.65
BCBS
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$69,183.10
Typical High
$91,201.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$24.55
Typical High
$24.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$24.55
Typical High
$24.55
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$22.91
Typical High
$44.67
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$22.91
Typical High
$44.67
Providence
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$21.38
Typical High
$29.51
Providence
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$24.55
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$9.77
Typical High
$12.59
United
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$10.72
Typical High
$14.45

Where Montana sits

The same service costs 3.3 times more in Hawaii than in Colorado. 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· 6th of 51

$21.88

HI $35.48CO $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.