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Missouri 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
$10.96 / $25.12 / $25.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $15.85 / $30.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $11.48 / $24.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $15.85 / $26.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $15.49 / $15.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $13.18 / $13.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $22.39 / $117.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $12.88 / $162.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $12.02 / $16.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $12.30 / $18.62