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California 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
$6.94 / $7.60 / $74.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.60 / $9.92 / $74.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.99 / $9.61 / $25.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.11 / $11.11 / $24.07
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.26 / $35.42 / $54.72
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.99 / $55.54 / $97.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.82 / $15.54 / $18.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.56 / $13.21 / $15.54
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.70 / $25.88 / $31.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.53 / $18.12 / $40.11
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $122.93 / $122.93
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.22 / $167.13 / $194.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $22.89 / $27.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.56 / $13.21 / $20.94
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.85 / $48.85 / $48.85
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.70 / $21.64 / $28.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $10.06 / $13.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.85 / $10.97 / $26.11