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Indiana rates for HCPCS A4315

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.57 / $31.57 / $292.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.32 / $23.39 / $31.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.63 / $16.63 / $32.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.63 / $16.63 / $22.94
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.62 / $40.54 / $55.28
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.32 / $40.54 / $49.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.29 / $22.13 / $22.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.80 / $22.13 / $37.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.42 / $17.62 / $25.81