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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $14.13 / $14.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $15.14 / $19.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $16.98 / $34.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $30.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $39.81 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $13.18 / $120.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $11.75 / $16.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $14.45 / $21.88