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Oklahoma 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
Facility
Modifier
Low / Median / High Price
$20.38 / $20.38 / $24.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.07 / $20.07 / $20.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.97 / $29.97 / $29.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.39 / $29.97 / $29.97
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 / $28.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.68 / $21.40 / $157.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.98 / $16.93 / $33.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.98 / $15.44 / $21.50