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Indiana rates for HCPCS A4313

Insertion tray without drainage bag with indwelling catheter, Foley type, three-way, for continuous irrigation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.17 / $22.17 / $25.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.28 / $16.43 / $22.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.11 / $11.11 / $21.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.11 / $11.11 / $15.33
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.70 / $28.47 / $38.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.00 / $28.47 / $34.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.54 / $15.54 / $16.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.56 / $13.21 / $21.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.61 / $10.45 / $16.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.32 / $12.34 / $18.52