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Utah 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
$7.08 / $7.08 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $13.79 / $74.67
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 / $18.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.48 / $18.96 / $25.50
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.39 / $18.12 / $27.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $10.06 / $10.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.59 / $10.97 / $12.89