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Kentucky 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
$8.56 / $13.30 / $15.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.56 / $15.27 / $22.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.11 / $11.11 / $12.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.41 / $36.22 / $42.70
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.59 / $31.06 / $42.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.54 / $15.54 / $30.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.56 / $14.37 / $35.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.48 / $17.67 / $33.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $9.98 / $12.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.61 / $11.94 / $17.05