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Arkansas 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
$20.83 / $20.83 / $20.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.26 / $20.83 / $20.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.84 / $24.93 / $27.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.00 / $22.00 / $25.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.88 / $25.88 / $25.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.95 / $15.54 / $15.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.56 / $15.54 / $19.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.97 / $9.98 / $12.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.32 / $11.89 / $15.54