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Montana rates for HCPCS A4315

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $106.32 / $106.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.43 / $31.43 / $31.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.13 / $33.79 / $33.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.79 / $33.79 / $33.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.94 / $32.18 / $33.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.17 / $26.04 / $35.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $15.62 / $26.04