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Maryland 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
Professional
Modifier
Low / Median / High Price
$10.68 / $15.55 / $21.67
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.44 / $14.44 / $17.35
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 / $15.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.76 / $22.53 / $33.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.27 / $9.97 / $16.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.44 / $12.66 / $19.05
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.11 / $11.11 / $15.40