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Insertion Tray with Drainage Bag, Silicone Foley Catheter

Wisconsin rates for HCPCS A4315

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

Rates data updated July 2026.

Facilitymedian $38 · 10th–90th $30$690%20%40%10th90th$38Professionalmedian $35 · 10th–90th $18$630%10%20%10th90th$35$5.0$10.0$20.0$50.0$100.0$200.0

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
$21.38
Median
$21.38
Typical High
$21.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$32.36
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$61.66
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$41.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$117.49
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$53.70
Typical High
$70.79
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$31.62
Typical High
$53.70
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$50.12
Typical High
$58.88
Medica
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$37.15
Typical High
$165.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$18.20
Typical High
$42.66
Molina
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$33.11
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Network Health
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$42.66
Typical High
$74.13
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$31.62
Typical High
$53.70
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$37.15
Quartz
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$56.23
Typical High
$93.33
Quartz
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$75.86
Typical High
$169.82
Quartz
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$56.23
Typical High
$199.53
Security Health
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
Security Health
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
United
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$17.38
Typical High
$38.02
United
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$18.20
Typical High
$33.88