go back

California rates for HCPCS A4316

Insertion tray with drainage bag with indwelling catheter, Foley type, three-way, for continuous irrigation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.63 / $11.65 / $114.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.65 / $17.26 / $114.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.87 / $15.50 / $40.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.89 / $17.89 / $36.90
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.79 / $54.29 / $83.88
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.44 / $71.59 / $122.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.37 / $19.37 / $28.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.19 / $16.46 / $19.37
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.74 / $39.68 / $47.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.81 / $27.78 / $61.50
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $188.48 / $188.48
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.42 / $199.53 / $297.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.86 / $34.75 / $39.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.19 / $16.46 / $32.10
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.88 / $74.88 / $74.88
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.74 / $33.19 / $43.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.11 / $16.82 / $39.68