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Massachusetts 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
Facility
Modifier
Low / Median / High Price
$13.70 / $13.70 / $13.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.70 / $13.70 / $27.71
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.07 / $68.73 / $175.04
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.03 / $21.85 / $30.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.20 / $20.20 / $59.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.78 / $20.50 / $20.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.11 / $20.00 / $22.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.29 / $18.80 / $42.75
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.54 / $25.54 / $26.82
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.78 / $16.78 / $16.78
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.81 / $175.04 / $175.04
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.05 / $15.66 / $42.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.05 / $17.94 / $36.06