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Ohio rates for HCPCS A4313

Insertion tray without drainage bag with indwelling catheter, Foley type, three-way, for continuous irrigation

Facilitymedian $16 · 10th–90th $10–$270%20%10th90th$16Professionalmedian $14 · 10th–90th $9–$230%10%10th90th$14$0.2$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $21.88 / $26.92
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $15.14 / $21.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $13.49 / $33.88
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $21.88 / $30.90
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $23.44 / $34.67
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $16.22
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $13.18 / $13.18
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $15.49
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $13.18 / $13.18
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $16.22 / $22.91
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $29.51 / $54.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $10.47 / $16.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $12.30 / $17.78