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Rhode Island rates for HCPCS A4315

Insertion Tray With Drainage Bag With Indwelling Catheter Foley Type Two-Way All Silicone (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $25.70 / $25.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.82 / $12.94 / $20.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.30 / $59.81 / $70.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.47 / $16.47 / $27.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.29 / $20.00 / $22.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.29 / $18.80 / $22.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.05 / $17.94 / $26.04