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Indiana 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
Facility
Modifier
Low / Median / High Price
$30.26 / $30.26 / $35.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.01 / $22.42 / $30.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.93 / $15.93 / $30.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.93 / $15.93 / $21.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.49 / $38.85 / $52.98
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.02 / $38.85 / $47.68
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 / $21.22 / $36.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.98 / $16.89 / $23.36