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Alaska rates for HCPCS A4314

Insertion tray with drainage bag with indwelling catheter, Foley type, two-way latex with coating (Teflon, silicone, silicone elastomer or hydrophilic, etc.)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.46 / $36.46 / $36.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.22 / $21.22 / $21.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.04 / $21.22 / $21.86
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.68 / $9.68 / $9.68
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.52 / $36.39 / $57.47
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.93 / $30.93 / $37.40
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.31 / $37.40 / $77.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.68 / $9.68 / $30.93
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.22 / $30.86 / $47.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.11 / $36.63 / $66.89