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North Carolina 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
$21.88 / $21.88 / $21.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $15.85 / $21.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $25.70 / $51.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.95 / $20.89
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 / $18.20
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.88 / $18.62
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.22 / $22.91 / $37.15
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $10.47 / $16.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $12.59 / $18.20
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $123.03 / $123.03
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $165.96 / $194.98