go back

Oregon 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
Professional
Modifier
Low / Median / High Price
$7.60 / $16.13 / $74.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.54 / $15.54 / $15.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.56 / $13.21 / $15.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.40 / $46.87 / $57.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.74 / $19.28 / $24.20
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.36 / $17.89 / $22.77
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.48 / $22.00 / $24.20
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.57 / $23.26 / $24.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.54 / $19.26 / $22.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.56 / $19.26 / $24.14
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.37 / $24.20 / $24.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.46 / $9.97 / $9.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.33 / $10.97 / $20.94