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Montana 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
Professional
Modifier
Low / Median / High Price
$21.63 / $72.73 / $72.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.15 / $24.42 / $24.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.60 / $24.42 / $24.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.26 / $23.26 / $24.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.48 / $18.32 / $24.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.66 / $10.69 / $12.58