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Utah rates for HCPCS A4312

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.90 / $6.90 / $6.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.90 / $13.43 / $72.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.09 / $15.15 / $15.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $15.15 / $17.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.08 / $18.46 / $24.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.01 / $17.64 / $26.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.36 / $10.69 / $18.89