go back

Arkansas rates for HCPCS A4315

Insertion tray with drainage bag with indwelling catheter, Foley type, two-way, all silicone

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.50 / $28.50 / $28.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.04 / $28.50 / $28.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.35 / $38.84 / $43.16
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.32 / $31.32 / $36.85
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.85 / $36.85 / $36.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.29 / $22.13 / $22.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.29 / $22.13 / $26.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.42 / $16.78 / $22.57