go back

Virginia 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
$19.05 / $23.99 / $23.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $19.95 / $32.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $16.60 / $34.67
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $20.42 / $25.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $21.88 / $21.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $18.62 / $21.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $35.48 / $46.77
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $26.30 / $39.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $25.12 / $45.71
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $20.89 / $24.55
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $28.18 / $93.33
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $28.18 / $93.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $14.13 / $18.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $17.78 / $28.18