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Hawaii 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
Professional
Modifier
Low / Median / High Price
$16.39 / $16.39 / $16.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.53 / $32.53 / $32.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.42 / $27.42 / $45.05
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.95 / $42.88 / $42.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.57 / $40.95 / $57.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.59 / $32.53 / $45.05
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.95 / $34.11 / $38.97