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Insertion Tray without Drainage Bag, Silicone Foley Catheter

Utah rates for HCPCS A4312

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

Rates data updated July 2026.

Facilitymedian $7 · 10th–90th $7$150%50%90th$7Professionalmedian $18 · 10th–90th $7$1100%10%10th90th$18$0.2$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$6.92
Typical High
$6.92
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$16.22
Typical High
$109.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$17.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$22.39
Typical High
$32.36
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$17.78
Typical High
$26.92
Select Health
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
Select Health
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$24.55
Typical High
$25.70
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$25.70
Typical High
$26.30
United
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$9.77
Typical High
$12.59
United
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$10.72
Typical High
$16.22