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Connecticut 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
$16.64 / $16.64 / $16.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.26 / $16.64 / $17.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.11 / $11.11 / $11.11
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 / $13.21
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.82 / $16.82 / $16.82
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.82 / $16.82 / $23.81
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.35 / $11.35 / $11.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.78 / $16.32 / $16.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.85 / $12.91 / $22.65