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Michigan rates for HCPCS A4313

Insertion tray without drainage bag with indwelling catheter, Foley type, three-way, for continuous irrigation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $15.85 / $15.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $15.14 / $21.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $66.07 / $125.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $22.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $16.98 / $16.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $15.49 / $15.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $13.18 / $30.20
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $41.69 / $46.77
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $17.78 / $26.92
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $15.49 / $15.85
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $13.18 / $18.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $10.00 / $16.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $10.47 / $15.85