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Wyoming 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
$15.19 / $15.19 / $30.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.49 / $34.49 / $34.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.49 / $34.49 / $34.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.22 / $21.22 / $38.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.04 / $18.04 / $21.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.54 / $14.98 / $16.63