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Alaska rates for HCPCS A4313

Insertion tray without drainage bag with indwelling catheter, Foley type, three-way, for continuous irrigation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.35 / $35.35 / $35.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.54 / $15.54 / $16.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.56 / $13.21 / $16.01
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.90 / $35.28 / $55.71
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.99 / $20.99 / $36.27
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.02 / $36.27 / $74.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.08 / $16.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.21 / $26.43 / $45.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $8.71 / $9.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.53 / $35.51 / $64.84