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Insertion Tray with Drainage Bag, Silicone Foley Catheter

Montana rates for HCPCS A4315

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

Rates data updated July 2026.

Facilitymedian $32 · 10th–90th $21$950%20%40%10th90th$32Professionalmedian $32 · 10th–90th $12$790%20%10th90th$32$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$25.12
Typical High
$158.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$69,183.10
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$31.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$33.88
Typical High
$33.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$33.88
Typical High
$33.88
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$31.62
Typical High
$61.66
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$31.62
Typical High
$61.66
Providence
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$30.20
Typical High
$42.66
Providence
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$33.88
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$14.13
Typical High
$18.20
United
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$15.49
Typical High
$20.89