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Oklahoma 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
$20.38 / $20.38 / $59.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.07 / $20.07 / $20.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.97 / $29.97 / $29.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.39 / $29.97 / $29.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.42 / $22.13 / $22.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.80 / $18.80 / $26.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.09 / $21.49 / $165.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.42 / $17.66 / $33.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.42 / $15.62 / $22.43