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Delaware rates for HCPCS A4315

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.97 / $22.10 / $32.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.29 / $18.29 / $22.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.29 / $18.80 / $22.13
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.05 / $70.05 / $70.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.99 / $17.98 / $27.09