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Arkansas rates for HCPCS A4316

Insertion Tray With 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
$28.50 / $28.50 / $28.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.26 / $28.50 / $28.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.78 / $34.11 / $37.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.68 / $39.68 / $39.68
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.68 / $39.68 / $39.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.37 / $19.37 / $22.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.19 / $19.37 / $28.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $16.82 / $22.68