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New York 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 / $20.89 / $29.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $15.14 / $24.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $11.22 / $40.74
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $21.38 / $21.38
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $21.38 / $21.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $39.81 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $13.18 / $19.05
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $43.65 / $102.33
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $30.90 / $51.29
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.85 / $18.62
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,118.72 / $53,703.18 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $25.12 / $25.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $10.00 / $16.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $12.88 / $22.39
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $15.14 / $18.62
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $15.85