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Louisiana 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
$14.85 / $18.29 / $18.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.85 / $18.29 / $20.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.53 / $38.47 / $54.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.77 / $16.05 / $16.05
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.54 / $15.54 / $15.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.56 / $13.21 / $18.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.97 / $9.97 / $12.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.32 / $12.04 / $18.29