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Louisiana 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
$23.99 / $23.99 / $23.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $23.99 / $33.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $52.48 / $72.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $21.88
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $19.50 / $19.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.60 / $19.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $15.85 / $19.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $16.60 / $23.99