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West Virginia 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
$13.90 / $13.90 / $13.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.13 / $13.79 / $14.48
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.38 / $33.36 / $44.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.38 / $17.64 / $29.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.09 / $15.15 / $28.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.09 / $15.15 / $116.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.19 / $12.58 / $17.82