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Iowa rates for HCPCS A4315

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

Facilitymedian $30 · 10th–90th $17–$1660%10%20%10th90th$30Professionalmedian $22 · 10th–90th $17–$420%10%20%10th90th$22$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $30.20 / $30.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $21.88 / $32.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $21.88 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $42.66 / $53.70
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $48.98 / $87.10
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $40.74 / $165.96
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $22.39 / $61.66
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $41.69 / $47.86
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $41.69 / $41.69
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $61.66 / $61.66
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $16.60 / $26.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $18.20 / $31.62
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $33.11 / $33.11