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Vermont 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
$11.26 / $14.47 / $14.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.09 / $15.15 / $15.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.09 / $12.88 / $15.60
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.09 / $15.15 / $15.15
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.09 / $14.89 / $15.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.13 / $13.56 / $24.77