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Vermont 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
Professional
Modifier
Low / Median / High Price
$16.47 / $21.18 / $21.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.35 / $25.35 / $25.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.29 / $22.13 / $22.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.29 / $18.80 / $22.79
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.29 / $22.13 / $22.13
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.29 / $21.62 / $22.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.83 / $19.07 / $36.22