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Illinois 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
$21.88 / $21.88 / $40.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $23.99 / $40.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $89.13 / $346.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $19.50 / $43.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.60 / $28.18
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $48.98 / $64.57
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $51.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $18.20 / $40.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $19.95 / $30.90