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Tennessee 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
$17.54 / $17.54 / $21.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.83 / $20.93 / $30.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.23 / $30.56 / $30.56
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 / $27.42
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.70 / $157.81 / $167.77
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.89 / $175.89 / $255.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.39 / $16.22 / $22.57