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Maine 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
$9.61 / $12.62 / $12.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.11 / $11.11 / $11.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.54 / $15.54 / $17.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.56 / $13.21 / $18.29
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.94 / $17.94 / $17.94
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.56 / $12.62 / $12.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.74 / $9.97 / $9.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.32 / $10.97 / $25.24