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Maine 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
$17.96 / $17.96 / $21.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.70 / $17.97 / $17.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.63 / $16.63 / $16.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.42 / $22.13 / $24.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.24 / $18.80 / $26.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.54 / $25.54 / $25.54
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.96 / $17.96 / $21.56
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.47 / $17.97 / $17.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.05 / $15.66 / $35.95