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Washington, DC 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
$17.14 / $17.14 / $17.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.14 / $17.14 / $17.14
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.44 / $14.44 / $17.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.56 / $10.56 / $13.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $50.37 / $50.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.32 / $12.66 / $20.95