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Utah 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
$9.68 / $9.68 / $9.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.68 / $22.89 / $101.91
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 / $21.22 / $40.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.30 / $25.88 / $33.64
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.64 / $24.72 / $37.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.43 / $14.98 / $17.59