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Mississippi 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
$21.53 / $21.53 / $22.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.33 / $21.53 / $22.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.06 / $21.06 / $23.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.05 / $20.05 / $20.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.54 / $15.54 / $15.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.56 / $13.21 / $18.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.61 / $9.97 / $11.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.32 / $12.19 / $27.20