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Maine 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
$9.67 / $17.22 / $17.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.93 / $15.93 / $15.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.26 / $21.22 / $23.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.69 / $18.04 / $27.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.48 / $24.48 / $24.48
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.67 / $17.22 / $17.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.98 / $14.98 / $34.45