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Montana rates for HCPCS A4351

Intermittent urinary catheter; straight tip, with or without coating (Teflon, silicone, or silicone elastomer, etc.), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $75,857.76 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.09 / $2.09 / $2.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $2.24 / $2.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.82 / $2.24
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.66 / $2.09 / $4.07
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $2.09 / $4.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $2.04 / $2.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $2.24 / $79.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $0.98 / $1.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $1.07 / $1.23