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Idaho 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
Professional
Modifier
Low / Median / High Price
$20.88 / $42.52 / $42.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.13 / $22.13 / $23.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.80 / $18.80 / $26.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.09 / $24.73 / $42.52
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.19 / $29.75 / $31.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.57 / $31.32 / $54.81
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.92 / $22.86 / $32.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.32 / $15.62 / $24.28