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Minnesota 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
$23.50 / $23.50 / $23.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $23.50 / $26.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $39.33 / $51.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.48 / $35.74 / $36.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.13 / $113.80 / $316.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.75 / $45.32 / $54.29
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.56 / $109.19 / $248.88
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.75 / $42.75 / $44.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.39 / $36.85 / $165.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.42 / $17.35 / $40.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.42 / $17.45 / $57.44