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Minnesota 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
$16.50 / $16.50 / $16.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.61 / $16.50 / $16.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $27.63 / $36.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.70 / $25.10 / $25.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.54 / $79.66 / $221.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $31.80 / $38.10
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.29 / $76.43 / $174.21
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.29 / $25.88 / $117.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.32 / $11.18 / $28.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.28 / $9.97 / $14.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.32 / $10.97 / $25.99