go back

Hawaii 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
$12.39 / $12.39 / $12.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.54 / $31.54 / $31.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.54 / $18.29 / $43.67
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.70 / $41.57 / $41.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.82 / $39.70 / $55.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.46 / $9.97 / $9.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.74 / $31.54 / $43.67
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.10 / $33.08 / $37.79