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Virginia 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
$13.24 / $13.24 / $14.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.24 / $13.24 / $19.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.73 / $10.73 / $14.28
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.19 / $12.19 / $14.64
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 / $12.88 / $15.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.07 / $21.42 / $25.70
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.90 / $14.21 / $25.51
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.00 / $28.14 / $35.68
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.12 / $16.95 / $29.29
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.12 / $16.95 / $29.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.60 / $10.69 / $17.70