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Wyoming 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
$9.46 / $9.46 / $20.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.43 / $22.43 / $22.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.43 / $22.43 / $22.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.54 / $15.54 / $28.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.56 / $13.21 / $15.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.28 / $9.97 / $9.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.92 / $10.97 / $12.19