go back

Washington, DC 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
$25.45 / $25.45 / $25.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.45 / $25.45 / $25.45
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.43 / $21.43 / $25.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.19 / $16.19 / $16.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.73 / $74.73 / $74.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $18.79 / $31.09