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Insertion Tray with Drainage Bag, Silicone Foley Catheter

Utah rates for HCPCS A4315

Insertion tray with drainage bag with indwelling catheter, Foley type, two-way, all silicone

Rates data updated July 2026.

Facilitymedian $10 · 10th–90th $10$220%50%90th$10Professionalmedian $27 · 10th–90th $10$1580%10%10th90th$27$0.5$2.0$10.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$10.00
Typical High
$10.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$23.44
Typical High
$158.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$21.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$26.30
Molina
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$30.20
Typical High
$36.31
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$26.30
Typical High
$39.81
Select Health
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
Select Health
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$35.48
Typical High
$38.02
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$38.02
Typical High
$38.02
United
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$14.45
Typical High
$18.20
United
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$15.49
Typical High
$23.44