go back

North Carolina 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
$19.23 / $32.27 / $42.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.70 / $32.27 / $32.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.57 / $49.01 / $54.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.07 / $27.64 / $29.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.29 / $22.13 / $22.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.80 / $22.13 / $42.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.09 / $32.27 / $43.85
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.00 / $24.00 / $24.56
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.30 / $43.30 / $66.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.26 / $18.07 / $28.86
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $175.04 / $175.04
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $276.38