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Michigan rates for HCPCS A4313

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

Facilitymedian $28 · 10th–90th $12–$1000%20%10th90th$28Professionalmedian $16 · 10th–90th $11–$220%10%20%10th90th$16$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $15.85
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $15.14 / $21.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $66.07 / $125.89
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $22.91
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $16.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $15.85
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $13.80 / $18.20
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $41.69 / $46.77
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $18.20 / $28.18
Priority Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $15.85
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $13.80 / $18.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $10.00 / $16.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $10.47 / $15.85