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Texas 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
$12.92 / $16.77 / $19.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.92 / $17.00 / $22.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.78 / $29.27 / $72.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.32 / $12.32 / $12.32
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.88 / $25.88 / $25.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.54 / $15.54 / $16.01
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
$117.09 / $122.93 / $122.93
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.22 / $167.13 / $194.10
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $19.03 / $25.88
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.74 / $22.00 / $25.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $18.52 / $25.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.56 / $13.21 / $18.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $10.15 / $16.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.15 / $11.94 / $15.74
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.11 / $11.11 / $25.88