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Oklahoma 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
$15.41 / $15.41 / $18.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.18 / $15.18 / $15.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.54 / $15.54 / $15.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.56 / $13.21 / $18.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $16.18 / $117.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.32 / $12.40 / $25.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.97 / $10.06 / $13.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.32 / $11.57 / $15.74