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Arizona 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
Professional
Modifier
Low / Median / High Price
$7.93 / $15.53 / $22.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.45 / $70.26 / $127.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.09 / $22.78 / $31.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.54 / $15.54 / $15.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.56 / $13.21 / $18.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $18.52 / $117.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.66 / $10.97 / $16.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.61 / $9.97 / $16.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.15 / $10.97 / $16.53