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Maryland 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
Professional
Modifier
Low / Median / High Price
$16.37 / $25.13 / $33.24
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.43 / $21.43 / $25.74
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 / $19.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.36 / $33.89 / $50.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.94 / $18.79 / $28.30
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.89 / $17.89 / $23.61