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Rhode Island 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 / $9.09 / $16.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.11 / $42.00 / $49.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.56 / $11.56 / $19.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.54 / $15.54 / $16.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.56 / $13.21 / $15.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.78 / $11.78 / $11.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.46 / $12.59 / $18.29