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Washington, DC 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
$22.66 / $22.66 / $22.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.66 / $22.66 / $22.66
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.07 / $19.07 / $22.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.04 / $18.04 / $18.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.55 / $66.55 / $66.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.98 / $16.73 / $29.38