go back

Iowa 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
$16.30 / $16.50 / $16.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.60 / $15.99 / $21.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.54 / $15.54 / $28.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.54 / $27.69 / $37.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.63 / $29.03 / $32.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.69 / $29.83 / $117.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.97 / $13.34 / $33.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.38 / $28.47 / $34.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.29 / $32.14 / $54.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $11.78 / $16.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.97 / $12.91 / $22.07
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.29 / $23.29 / $23.29
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.39 / $23.29 / $23.29