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West 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
$21.43 / $21.43 / $130.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.55 / $19.48 / $22.74
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.96 / $47.68 / $61.81
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.96 / $24.72 / $42.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.60 / $21.22 / $41.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.60 / $21.22 / $162.53
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.32 / $369.32 / $369.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.90 / $17.62 / $27.65