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Idaho 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
$13.58 / $29.85 / $29.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.54 / $15.54 / $16.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.56 / $13.21 / $18.29
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $17.91 / $29.85
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.80 / $20.90 / $22.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $22.00 / $38.50
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.40 / $16.05 / $23.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $11.84 / $16.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.06 / $10.97 / $17.05