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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
$22.28 / $22.28 / $22.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.46 / $22.28 / $39.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.70 / $100.23 / $347.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.37 / $19.37 / $43.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.19 / $16.46 / $40.28
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.68 / $49.40 / $64.00
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
$51.58 / $51.58 / $51.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.91 / $53.96 / $59.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.94 / $19.79 / $32.99