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Vermont 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
$15.78 / $20.29 / $20.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.29 / $24.29 / $24.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.60 / $21.22 / $21.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.60 / $18.04 / $21.86
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.60 / $21.22 / $21.22
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.60 / $20.66 / $21.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.38 / $18.28 / $34.72