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North Dakota 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
$16.30 / $16.30 / $16.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.33 / $16.50 / $16.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.96 / $24.78 / $25.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.30 / $38.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $16.50 / $117.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.93 / $12.19 / $18.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.78 / $11.78 / $11.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.32 / $11.18 / $18.29