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Virginia 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
$18.55 / $18.55 / $22.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.47 / $18.55 / $25.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.93 / $15.93 / $21.21
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.07 / $19.07 / $22.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.60 / $21.22 / $21.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.69 / $18.04 / $21.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.15 / $30.02 / $40.24
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.68 / $20.55 / $37.09
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.00 / $39.44 / $50.02
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.79 / $23.76 / $43.53
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.79 / $23.76 / $43.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.90 / $16.07 / $24.96