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North Dakota 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
$26.81 / $26.81 / $26.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.97 / $23.50 / $26.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.46 / $40.74 / $41.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.75 / $43.18 / $54.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.94 / $26.81 / $165.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.69 / $18.23 / $29.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.42 / $18.23 / $36.85