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Montana rates for HCPCS A4338

Indwelling catheter; Foley type, two-way latex with coating (Teflon, silicone, silicone elastomer, or hydrophilic, etc.), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.97 / $27.97 / $27.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.03 / $5.53 / $49.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.73 / $16.73 / $16.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.29 / $18.00 / $18.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.60 / $18.00 / $18.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.34 / $17.14 / $18.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.19 / $13.51 / $18.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.56 / $7.27 / $8.55