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California 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
$9.47 / $10.37 / $285.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.37 / $14.83 / $101.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.46 / $13.80 / $36.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.93 / $15.93 / $32.85
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.21 / $48.34 / $74.69
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.09 / $73.98 / $109.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.84 / $21.22 / $32.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.04 / $18.04 / $22.91
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.26 / $35.32 / $42.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.19 / $24.72 / $54.75
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $167.77 / $167.77
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.89 / $175.89 / $255.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.68 / $31.23 / $35.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.04 / $21.22 / $30.02
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.66 / $66.66 / $66.66
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.26 / $29.56 / $38.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.45 / $14.98 / $35.34