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Massachusetts rates for HCPCS A4315

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

Facilitymedian $20 · 10th–90th $13–$930%20%10th90th$20Professionalmedian $26 · 10th–90th $13–$340%20%40%10th90th$26$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

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
$12.88 / $12.88 / $12.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $21.88 / $33.88
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $32.36 / $169.82
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $25.70 / $47.86
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $61.66
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $19.95 / $21.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.62 / $23.44
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $3,630.78 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $41.69
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $16.60
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $32.36 / $169.82
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $25.70 / $47.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $14.45 / $19.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $22.39 / $29.51