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Vermont 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
Professional
Modifier
Low / Median / High Price
$11.56 / $14.87 / $14.87
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 / $16.01
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.54 / $15.54 / $16.01
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.56 / $14.89 / $16.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.78 / $11.78 / $12.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.32 / $13.93 / $25.43