go back

Kansas 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
$43.43 / $43.43 / $43.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.86 / $21.15 / $43.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.00 / $51.07 / $54.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.52 / $48.52 / $48.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.37 / $19.37 / $19.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.19 / $19.37 / $46.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.86 / $33.99 / $178.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $19.79 / $50.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $18.68 / $26.68