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Tennessee 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
$19.03 / $19.03 / $23.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.04 / $22.72 / $32.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.97 / $33.17 / $33.17
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 / $18.80 / $26.04
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.81 / $165.95 / $175.04
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.85 / $199.53 / $276.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.84 / $17.50 / $24.79