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Kansas 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
$28.57 / $28.57 / $28.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $13.79 / $28.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.70 / $33.04 / $35.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.39 / $31.39 / $31.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.54 / $15.54 / $15.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.56 / $15.54 / $30.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $22.37 / $117.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.32 / $12.91 / $33.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.46 / $11.57 / $18.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.32 / $12.51 / $17.35