go back

Washington, DC rates for HCPCS A4315

Insertion Tray With Drainage Bag With Indwelling Catheter Foley Type Two-Way All Silicone (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.37 / $24.37 / $24.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.37 / $24.37 / $24.37
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.52 / $20.52 / $24.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.80 / $18.80 / $18.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.56 / $71.56 / $71.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.42 / $17.98 / $29.77