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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.) (Special Coverage Instructions Apply. See Mcm: 2130)

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