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West 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
$20.32 / $20.32 / $20.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.36 / $20.32 / $24.37
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.95 / $49.75 / $64.48
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.95 / $25.80 / $44.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.29 / $22.13 / $43.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.29 / $22.13 / $170.92
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.97 / $196.97 / $196.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.46 / $18.38 / $33.54