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Texas 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
$17.93 / $23.60 / $29.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.93 / $23.60 / $32.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.94 / $39.72 / $100.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.10 / $17.10 / $19.19
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.85 / $10.85 / $35.93
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 / $22.13
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.95 / $175.04 / $175.04
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.85 / $199.53 / $276.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.09 / $26.96 / $35.93
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.45 / $31.16 / $35.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.09 / $25.70 / $35.93
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.80 / $18.80 / $27.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.02 / $17.00 / $22.43
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.63 / $16.63 / $35.93