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Montana rates for HCPCS A4315

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

Facilitymedian $32 · 10th–90th $21–$950%20%40%10th90th$32Professionalmedian $27 · 10th–90th $15–$420%20%10th90th$27$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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $21.88 / $41.69
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $69,183.10 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $31.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $33.88 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $33.88 / $33.88
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $31.62 / $61.66
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $31.62 / $61.66
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $30.20 / $42.66
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $33.88 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $14.13 / $18.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $15.49 / $20.89