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Virginia rates for HCPCS A4313

Insertion tray without drainage bag with indwelling catheter, Foley type, three-way, for continuous irrigation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $16.98 / $16.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $14.13 / $21.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $11.22 / $23.44
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $17.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $15.49 / $15.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $13.18 / $13.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $24.55 / $33.11
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $18.62 / $27.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $17.78 / $32.36
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $14.79 / $17.38
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $19.95 / $64.57
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $19.95 / $64.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $10.00 / $12.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $12.59 / $19.95