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Massachusetts 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
$17.34 / $17.34 / $17.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.34 / $17.34 / $26.81
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.85 / $80.55 / $188.48
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.50 / $25.93 / $38.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.58 / $25.58 / $75.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.97 / $25.97 / $27.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.37 / $19.37 / $30.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.19 / $16.46 / $32.54
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.35 / $32.35 / $33.97
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.46 / $20.46 / $20.46
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.55 / $188.48 / $188.48
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $19.79 / $54.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.94 / $21.34 / $37.65