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Arkansas 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.) (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.46 / $28.46 / $28.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.83 / $28.46 / $28.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.29 / $38.77 / $43.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.60 / $32.60 / $35.32
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.32 / $35.32 / $35.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.60 / $21.22 / $21.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.60 / $21.22 / $27.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.98 / $16.22 / $21.24