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Indiana 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
$33.99 / $33.99 / $39.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.89 / $25.19 / $33.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.89 / $17.89 / $34.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.89 / $17.89 / $24.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.76 / $43.65 / $59.52
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.72 / $43.65 / $53.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.37 / $19.37 / $19.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.19 / $16.46 / $32.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $18.91 / $28.40