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Alabama rates for HCPCS A4313

Insertion Tray Without Drainage Bag With Indwelling Catheter Foley Type Three-Way For Continuous Irrigation (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.99 / $15.99 / $15.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.93 / $15.99 / $21.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.37 / $16.37 / $16.37
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 / $18.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.44 / $10.23 / $18.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.32 / $10.23 / $15.74