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Minnesota 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
$22.53 / $22.53 / $22.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.19 / $22.53 / $25.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $37.71 / $49.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.26 / $34.26 / $35.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.22 / $108.63 / $301.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.88 / $43.33 / $51.91
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.48 / $104.22 / $237.56
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.88 / $40.88 / $42.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.97 / $35.32 / $157.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.98 / $16.72 / $42.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.98 / $15.91 / $35.47