go back

North Carolina 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
$22.66 / $22.66 / $27.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.53 / $22.66 / $22.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.75 / $24.90 / $47.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.59 / $19.41 / $20.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.54 / $15.54 / $16.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.56 / $15.54 / $30.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $22.66 / $30.80
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $17.00 / $17.23
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.40 / $30.40 / $46.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $9.98 / $12.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.61 / $12.69 / $20.26
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $122.93 / $122.93
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.13 / $167.13 / $194.10