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North Dakota 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
$25.70 / $25.70 / $25.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.18 / $22.53 / $25.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.02 / $39.04 / $40.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.88 / $41.28 / $51.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.20 / $25.70 / $157.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.08 / $17.47 / $28.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.98 / $14.98 / $28.15