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North Dakota 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
$16.30 / $16.30 / $16.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.96 / $16.07 / $16.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.96 / $24.78 / $25.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.25 / $29.54 / $37.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.26 / $16.30 / $113.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.93 / $11.87 / $18.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.13 / $11.87 / $25.43