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Ohio 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
$23.39 / $23.39 / $59.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.61 / $23.39 / $31.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.63 / $16.63 / $48.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.64 / $36.85 / $49.75
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.95 / $36.85 / $78.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.42 / $22.13 / $43.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.80 / $18.80 / $26.04
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.29 / $22.13 / $22.13
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.29 / $22.13 / $22.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.76 / $16.17 / $21.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.60 / $17.32 / $23.55