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Massachusetts 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
$9.61 / $9.61 / $9.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.61 / $9.61 / $19.37
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.67 / $46.68 / $122.93
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.59 / $14.82 / $22.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.19 / $14.19 / $42.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.40 / $14.40 / $15.43
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 / $19.20
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.94 / $17.94 / $18.84
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.35 / $11.35 / $11.35
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.54 / $122.93 / $122.93
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.46 / $11.00 / $29.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.46 / $10.06 / $12.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.46 / $12.59 / $25.37