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Hawaii 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
$17.61 / $17.61 / $17.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.67 / $37.67 / $37.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.04 / $26.04 / $52.16
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.42 / $49.65 / $49.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.45 / $47.42 / $66.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.43 / $37.67 / $52.16
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $39.51 / $45.14