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Connecticut 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
$22.74 / $22.74 / $22.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.83 / $22.74 / $23.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.93 / $15.93 / $15.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.60 / $21.22 / $21.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.04 / $18.04 / $21.22
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.96 / $22.96 / $22.96
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.15 / $22.96 / $31.35
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.36 / $16.36 / $16.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.45 / $17.62 / $26.90