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Arizona 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
Facility
Modifier
Low / Median / High Price
$103.95 / $103.95 / $103.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.04 / $18.01 / $64.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.93 / $28.64 / $51.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.82 / $26.43 / $36.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.22 / $21.22 / $26.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.04 / $18.04 / $27.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.68 / $21.50 / $157.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.83 / $14.98 / $22.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.83 / $14.98 / $22.57