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Iowa 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
$25.31 / $25.31 / $27.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.65 / $25.13 / $33.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.37 / $19.37 / $43.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.37 / $42.09 / $57.66
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.40 / $46.55 / $52.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.12 / $45.69 / $178.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.82 / $20.45 / $51.58
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.14 / $43.65 / $51.85
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.15 / $49.87 / $82.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.82 / $19.79 / $49.19
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.71 / $35.71 / $35.71
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.21 / $35.71 / $35.71