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Rhode Island 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
Professional
Modifier
Low / Median / High Price
$10.37 / $12.40 / $22.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.46 / $57.33 / $67.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.41 / $15.78 / $26.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.60 / $20.00 / $21.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.60 / $18.04 / $21.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.55 / $17.20 / $24.96