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Idaho 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
Professional
Modifier
Low / Median / High Price
$20.01 / $40.75 / $40.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.35 / $21.22 / $21.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.04 / $18.04 / $27.42
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.68 / $23.70 / $40.75
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.02 / $28.52 / $30.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.63 / $30.02 / $52.54
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.01 / $21.91 / $31.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.73 / $14.98 / $23.27