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Wisconsin rates for HCPCS A4313

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

Facilitymedian $26 · 10th–90th $22–$480%20%40%10th90th$26Professionalmedian $20 · 10th–90th $12–$400%10%10th90th$20$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $15.14 / $21.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $43.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $24.55 / $28.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $81.28 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $30.90 / $50.12
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $22.39 / $37.15
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $42.66 / $52.48
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $25.70 / $117.49
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $12.88 / $30.20
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $41.69 / $41.69
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $29.51 / $51.29
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $39.81 / $69.18
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $52.48 / $123.03
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $15.49 / $165.96
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $26.30
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $26.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $12.30 / $26.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $12.88 / $21.38