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West 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
$14.28 / $14.28 / $14.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.60 / $14.28 / $17.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.82 / $34.94 / $45.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.82 / $18.12 / $31.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.54 / $15.54 / $30.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.56 / $15.54 / $18.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.97 / $11.78 / $11.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.44 / $12.91 / $19.97