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Massachusetts 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
$13.12 / $13.12 / $13.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.40 / $13.12 / $26.43
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.08 / $63.71 / $167.77
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.73 / $20.23 / $30.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.36 / $19.36 / $57.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.96 / $19.64 / $19.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.39 / $20.00 / $21.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.60 / $18.04 / $40.88
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.48 / $24.48 / $25.70
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.36 / $16.36 / $16.36
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.70 / $167.77 / $167.77
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.55 / $15.01 / $40.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.55 / $17.20 / $33.53