go back

Virginia 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
$13.60 / $13.60 / $17.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.60 / $13.60 / $17.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.11 / $11.11 / $14.79
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.44 / $14.44 / $17.35
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 / $15.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.03 / $22.00 / $30.44
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $15.37 / $27.44
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $28.90 / $36.65
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.50 / $17.41 / $32.25
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.50 / $17.41 / $32.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.28 / $9.97 / $11.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.85 / $12.05 / $18.91