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Tennessee 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
$13.37 / $13.37 / $16.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.26 / $15.95 / $22.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.42 / $23.29 / $23.29
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.54 / $117.09 / $122.93
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.22 / $167.13 / $194.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.61 / $10.74 / $14.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.44 / $12.04 / $17.05