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Missouri 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
$18.82 / $28.24 / $393.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.13 / $19.84 / $39.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.93 / $15.93 / $28.58
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 / $18.04 / $26.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.43 / $31.79 / $157.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.41 / $17.62 / $42.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $17.62 / $27.36